Individual
ANDREA S JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
110 2ND ST, HENDERSON, KY 42420-3136
(270) 631-2412
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 631-2421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA284
KY
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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