Provider Demographics
NPI:1821579061
Name:JENNINGS, ARLENE ALDONA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:ALDONA
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5223 INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-6519
Mailing Address - Country:US
Mailing Address - Phone:254-231-8111
Mailing Address - Fax:
Practice Address - Street 1:5223 INDIAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-6519
Practice Address - Country:US
Practice Address - Phone:254-231-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583022163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics