Provider Demographics
NPI:1295578193
Name:JENNINGS HEALTH PLLC
Entity type:Organization
Organization Name:JENNINGS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:571-506-7265
Mailing Address - Street 1:2201 MOUNT VERNON AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1313
Mailing Address - Country:US
Mailing Address - Phone:571-506-7265
Mailing Address - Fax:571-386-2616
Practice Address - Street 1:2201 MOUNT VERNON AVE STE 105
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22301-1313
Practice Address - Country:US
Practice Address - Phone:571-506-7265
Practice Address - Fax:571-386-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center