Individual
CHARLES ANTHONY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
1550 HOTEL CIR N, SUITE 450, SAN DIEGO, CA 92108-2901
(619) 692-1581
(619) 692-1588
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000764
CA
Other
Enumeration date
09/09/2014
Last updated
09/10/2014
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