Denise K Jennings, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102062 Issued in MO

Practice address

707 Victory Lane
Cainsville, MO 64632-0136

Phone

(660) 893-5750

Fax

(660) 893-5751

NPI assigned

Mar 9, 2006

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1699743476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 VICTORY LANE",
            "city": "CAINSVILLE",
            "state": "MO",
            "postal_code": "646320136",
            "telephone_number": "660-893-5750",
            "fax_number": "660-893-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 VICTORY LANE",
            "city": "CAINSVILLE",
            "state": "MO",
            "postal_code": "646320136",
            "telephone_number": "660-893-5750",
            "fax_number": "660-893-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DENISE",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "102062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428904700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Henry, APRN
• Northwest Health Services Inc (Cainsville Medical Clinic)

• Family Nurse Practitioner in Cainsville, MO
• Providers in Cainsville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.