Provider Demographics
NPI:1225259526
Name:JENNINGS, GAYLE A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:A
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2275 SWALLOW HILL RD
Mailing Address - Street 2:BLDG. 2600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1656
Mailing Address - Country:US
Mailing Address - Phone:412-279-4522
Mailing Address - Fax:412-279-3416
Practice Address - Street 1:2275 SWALLOW HILL RD
Practice Address - Street 2:BLDG. 2600
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1656
Practice Address - Country:US
Practice Address - Phone:412-279-4522
Practice Address - Fax:412-279-3416
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP006473V363LW0102X
PASP012668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP012668OtherLICENSE