Mary Pamela Jennings, CRNP, FNP/GNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-080489 Issued in AL

Practice address

1 Perimeter Park S Ste 195a
Birmingham, AL 35243-2327

Phone

(866) 849-0692

Fax

(888) 973-8821

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Mary Pamela Millan Jennings Other name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, AL
  • NPI 1184857195
  Medicare reassignment NPD
• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  Medicare reassignment NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, AL
  • NPI 1730312745
  NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Flowood, MS
  • NPI 1689440133
  NPD
• Athens Family Care, Dba

  • Family Medicine Physician
  • Athens, AL
  • NPI 1679503478
  NPD (past)
• Lister Healthcare Corporation

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1437981172
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1891779294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 195A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MARY",
        "middle_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "CRNP, FNP/GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN2027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-080489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY PAMELA",
            "last_name": "JENNINGS",
            "middle_name": "MILLAN",
            "prefix": "MS.",
            "credential": "CRNP, FNP/GNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vaneshia Jenkins, LPC
• Adeline Keaton Jennings, ALC, NCC
• Aimee Michelle Jennings, MS, CGC
• Amber Monique Jennings, RN
• Geneva Alexander Jennings, BSN, RN
• Melissa Jennings, MD,PHD
• Payne Jennings
• Sarah Mitchell Jennings, RPT
• Deborah Jensen Song, MD
• Laura Jensen

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.