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
Phone: (330) 856-6663
Fax: (330) 856-1581
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316071368 | NPPES |
| Ohio | MEDICAID | 2719991 |
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