Jennings, Roberta
Jennings, Roberta is an individual health care provider with primary practice located at 853 N Church St Suite 510, Spartanburg SC 29303-3098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jennings, Roberta can be contacted via phone (864) 560-6193.Contact Information
Primary practice address
853 N Church St Suite 510
Spartanburg SC 29303-3098
Phone: (864) 560-6193
Fax: (864) 560-1510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN2321 | South Carolina |
Profile Details
| NPI number | 1942271622 |
|---|---|
| LBN Legal business name | Jennings, Roberta |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Mar 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942271622 | NPPES |
| South Carolina | MEDICAID | NP0240 | |
| South Carolina | Other | 196540 | |
| South Carolina | Other | CN1627 |
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