MRS. ROBERTA JENNINGS NP NPI 1942271622

NPI Information

NPI: 1942271622
Provider Name: MRS. ROBERTA JENNINGS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
853 N CHURCH ST
SUITE 510
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6193
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MRS. Roberta Jennings, NP is a family nurse practitioner in Spartanburg, SC. MRS. Roberta Jennings, NP NPI is 1942271622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

853 N CHURCH ST
SUITE 510
SPARTANBURG, SC
ZIP 29303-098
Phone: (864) 560-6193
Fax: (864) 560-1510

The enumeration date for this NPI number is 1/30/2006 and was last updated on 3/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN2321	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA40623365	MEDICARE PIN	SOUTH CAROLINA
2	196540	OTHER	SOUTH CAROLINA	MEDCOST
3	NP0240	MEDICAID	SOUTH CAROLINA
4	CN1627	OTHER	SOUTH CAROLINA	RR MEDICARE
5	Q31833	MEDICARE UPIN	SOUTH CAROLINA
6	080072334	MEDICARE PIN	SOUTH CAROLINA
7	Q31833	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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