Individual
BERTIA A JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
(330) 856-1581
Mailing address
3040 BELMONT AVE STE C, YOUNGSTOWN, OH 44505-1836
(330) 759-0276
(330) 759-0276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN161405-06
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.05966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2719991
—
OH
Enumeration date
03/14/2007
Last updated
04/28/2020
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