Provider Demographics
NPI:1104005305
Name:JENNINGS, LATONYA (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:LATONYA
Middle Name:
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 FOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5312
Mailing Address - Country:US
Mailing Address - Phone:513-413-0706
Mailing Address - Fax:
Practice Address - Street 1:1485 FOXWOOD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5312
Practice Address - Country:US
Practice Address - Phone:513-413-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.371607163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse