Individual
BETSY ANN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 JASPER RD, PIKETON, OH 45661-9404
(740) 970-1693
Mailing address
2362 SHYVILLE RD, PIKETON, OH 45661
(740) 970-1693
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225153
—
OH
Enumeration date
11/18/2020
Last updated
11/18/2020
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