Provider Demographics
NPI:1144427006
Name:CARPENTER, JENNA (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 US HIGHWAY 431
Mailing Address - Street 2:PULMONARY AND SLEEP ASSOCIATES, SUITE 210
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-5934
Mailing Address - Country:US
Mailing Address - Phone:256-840-4653
Mailing Address - Fax:256-840-3182
Practice Address - Street 1:2525 US HIGHWAY 431
Practice Address - Street 2:PULMONARY AND SLEEP ASSOCIATES, SUITE 210
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5934
Practice Address - Country:US
Practice Address - Phone:256-840-4653
Practice Address - Fax:256-840-3182
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.1428207RC0200X, 207RP1001X, 2084S0012X
MS21342207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine