Regina Ann Jennings
Individual provider Active NPI Community Health Registered Nurse · MC Minnville, TN
NPI 1699894584 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699894584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 0000030454 (TN)
- Practice address
- 1401 Sparta St
MC Minnville, TN 37110-1301 - Phone
- (931) 473-8468
- NPI assigned
- Mar 29, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000030454 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 0000030454 | TN | Yes |
Addresses
Primary practice location
1401 Sparta St
MC Minnville, TN 37110-1301
Mailing address
7900 Jacksboro Rd
MC Minnville, TN 37110-6257
Phone (931) 939-2407
Other providers in MC Minnville, TN
- Kenneth L Holbert
- Gordon Jackson Jacobs
- Jeanine Jacobs
- Jacqueline Aune
- Mary Jane Jamieson
- William Jerald Jennings
- Dennis Kern Jeter
- Jimmie D. Woodlee MD
- Robert Houston Jones
- James G King
All providers in MC Minnville, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.