Provider Demographics
NPI:1255330486
Name:APPLEYARD, JENNIFER KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KAY
Last Name:APPLEYARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2668
Mailing Address - Country:US
Mailing Address - Phone:912-354-6190
Mailing Address - Fax:912-354-6172
Practice Address - Street 1:505 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2668
Practice Address - Country:US
Practice Address - Phone:912-354-6190
Practice Address - Fax:912-354-6172
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3747207K00000X, 207R00000X
GA91503207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6932488OtherCIGNA
MIF85539OtherHAP
MIC3478OtherM-CARE
MI1108206701OtherBLUE SHIELD
MI120657OtherPREFERRED CHOICES
MI1108206701OtherBLUE CARE NETWORK
MA1446506OtherAETNA
MI4959810Medicaid
F85539Medicare UPIN
MA6932488OtherCIGNA
MI0E06192016Medicare ID - Type UnspecifiedGROUP ID