Jennifer Davis, BA

Individual provider Active NPI Community Health Worker · Springfield, VT

NPI 1124863576 · NPPES record last updated Jun 27, 2024

Key facts

NPI
1124863576
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
390 River Street
Springfield, VT 05156-2226
Phone
(802) 886-4500
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

390 River Street
Springfield, VT 05156-2226

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Other names

  • Jennifer Kolenda Former name

Other providers in Springfield, VT

All providers in Springfield, VT · Community Health Worker in Vermont

Sources for this page

Verify at the official NPI Registry.