Crystal Jenness-Temple, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN80293 Issued in ME

Practice address

16 Amsden Rd
Corinna, ME 04928-3325

Phone

(207) 416-8402

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1447952650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AMSDEN RD",
            "city": "CORINNA",
            "state": "ME",
            "postal_code": "049283325",
            "telephone_number": "207-416-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AMSDEN RD",
            "city": "CORINNA",
            "state": "ME",
            "postal_code": "049283325",
            "telephone_number": "207-416-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS-TEMPLE",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ME",
            "license": "RN80293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Brooks, BCBA
• Alyssa Kajkowski
• Wayne Prescott

• Home Health Registered Nurse in Corinna, ME
• Providers in Corinna, ME by specialty
• Home Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.