Provider Demographics
NPI:1023223435
Name:TENNEY, JENNIFER MEANS (CRFNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MEANS
Last Name:TENNEY
Suffix:
Gender:F
Credentials:CRFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 LAUREL ST
Mailing Address - Street 2:STE 3
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3932
Mailing Address - Country:US
Mailing Address - Phone:540-829-5032
Mailing Address - Fax:
Practice Address - Street 1:610 LAUREL ST
Practice Address - Street 2:STE 3
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3932
Practice Address - Country:US
Practice Address - Phone:540-829-5032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024098712363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAMC10056Medicare UPIN