Individual
DENISE K JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 VICTORY LANE, CAINSVILLE, MO 64632-0136
(660) 893-5750
(660) 893-5751
Mailing address
707 VICTORY LANE, CAINSVILLE, MO 64632-0136
(660) 893-5750
(660) 893-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428904700
—
MO
Enumeration date
03/09/2006
Last updated
06/22/2009
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