Individual
DR. AISHA CHANTAL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16TH ST AND FIRST AVENUE, NEW YORK, NY 10005
(770) 999-9999
Mailing address
16TH STREET AND FIRST AVENUE, NEW YORK, NY 10005
(770) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101253241
VA
207P00000X
Emergency Medicine Physician
01071390A
IN
207P00000X
Emergency Medicine Physician
Primary
82854
GA
Other
Enumeration date
05/19/2009
Last updated
12/18/2024
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