Individual
L CANDACE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4019 W DUBLIN GRANVILLE RD, DUBLIN, OH 43017-1436
(614) 293-2957
(614) 688-3700
Mailing address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 293-2957
(614) 688-3700
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.120973
OH
207X00000X
Orthopaedic Surgery Physician
59514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
01/23/2007
Last updated
04/18/2013
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