Ann Marie Jennings, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN500669L Issued in PA

Practice address

820 S Washington Ave
Scranton, PA 18505-1639

Phone

(570) 595-4496

Fax

(570) 961-3844

NPI assigned

Oct 23, 2017

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 3

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1730690348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ STE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011704",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S WASHINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051639",
            "telephone_number": "570-595-4496",
            "fax_number": "570-961-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Public Sq Ste 600",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187011704",
            "country_code": "US",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ANN MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN500669L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034253110001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420038",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034253110002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra R. Jayne, RN, MSN, ANP
• JC Century Dental SCR II, LLC
• JC Century Dental Scranton LLC
• Valerie Jean
• Shabban Jehangir
• Kathleen Jennings, COTA
• Jewish Family Service of Northeastern Pennsylvania
• Jewish Home of Eastern Pennsylvania
• Harish Shikerchand Jhaveri, MD
• Albert Ji

• Registered Nurse in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.