Individual
CARA A. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5855 BREMO RD, SUITE 509, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Mailing address
5855 BREMO RD, SUITE 509, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101246864
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03895
MEDICARE GROUP NUMBER
VA
01
—
C06778
GROUP PTAN
VA
Enumeration date
06/16/2008
Last updated
05/22/2013
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