Provider Demographics
NPI:1275514101
Name:JENNINGS, CATHERINE MARY (DNP, MSN, APN,C)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARY
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:DNP, MSN, APN,C
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:JENNINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-8843
Mailing Address - Country:US
Mailing Address - Phone:973-271-6204
Mailing Address - Fax:973-786-5806
Practice Address - Street 1:262 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-2117
Practice Address - Country:US
Practice Address - Phone:201-559-6000
Practice Address - Fax:973-786-5806
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN64000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily