Provider Demographics
NPI:1043095540
Name:JENNINGS-CURRY, SANDRA JANAE (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JANAE
Last Name:JENNINGS-CURRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9638 OLATHE ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-7122
Mailing Address - Country:US
Mailing Address - Phone:720-203-1522
Mailing Address - Fax:
Practice Address - Street 1:1950 W ROSCOE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1030
Practice Address - Country:US
Practice Address - Phone:312-516-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILL-306282174N00000X
IL041.486975163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No174N00000XOther Service ProvidersLactation Consultant, Non-RN