Individual
JUDITH A JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
5640 MAIN ST, NEW PORT RICHEY, FL 34652-2637
(727) 841-4425
(727) 816-1956
Mailing address
5640 MAIN ST, NEW PORT RICHEY, FL 34652-2637
(727) 841-4425
(727) 816-1956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1146562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033946600
—
FL
01
—
Y041Q
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/13/2006
Last updated
12/31/2012
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