Individual
CANDACE C JENNINGS
Active
Individual
CANDACE C JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12517400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00300900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR12517400
REGISTERED NURSE STATE LICENSE
NJ
Enumeration date
08/03/2009
Last updated
08/28/2024
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