Jennings, Bertia A

Jennings, Bertia A is an individual health care provider with primary practice located at 8577 E Market St , Warren OH 44484-2345. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jennings, Bertia A can be contacted via phone (330) 856-6663.

Contact Information

Primary practice address
8577 E Market St Warren OH 44484-2345
Fax: (330) 856-1581
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN161405-06 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.05966 Ohio

Profile Details

NPI number 1316071368
LBN Legal business name Jennings, Bertia A
Credentials DNP, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Apr 28th, 2020 - about 6 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 1316071368 NPPES
Ohio MEDICAID 2719991

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