Individual
JEFFREY L JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
691 S WENAS, SELAH, WA 98942
(509) 480-8258
Mailing address
691 S WENAS, SELAH, WA 98942
(509) 480-8258
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00031985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8157299
—
WA
Enumeration date
10/24/2006
Last updated
10/15/2010
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