Individual
JONATHAN CHRISTIAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(360) 747-5800
(360) 575-3846
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004564
CO
363A00000X
Physician Assistant
Primary
PA60514742
WA
Other
Enumeration date
10/29/2014
Last updated
07/06/2016
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