Individual
AMANDA JENNINGS
Active
Individual
AMANDA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1734108
OH
207X00000X
Orthopaedic Surgery Physician
1734108
OH
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP021269
OH
Other
Enumeration date
06/06/2017
Last updated
03/27/2019
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