Jennings, Caitlin

Jennings, Caitlin is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jennings, Caitlin can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 22004 South Carolina

Profile Details

NPI number 1083109300
LBN Legal business name Jennings, Caitlin
Credentials PMHNP-BC, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Sep 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083109300 NPPES
South Carolina Other 3335 MEDICARE
South Carolina MEDICAID 421504 MEDICARE

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