Provider Demographics
NPI:1326584137
Name:JENNINGS, MARGARET (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 BURRUS RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-1441
Mailing Address - Country:US
Mailing Address - Phone:478-330-7164
Mailing Address - Fax:478-330-7167
Practice Address - Street 1:890 BURRUS RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-1441
Practice Address - Country:US
Practice Address - Phone:478-330-7164
Practice Address - Fax:478-330-7167
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN086341164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse