Provider Demographics
NPI:1770787988
Name:JENNINGS, DARCY ANNA (ND)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:ANNA
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:DARCY
Other - Middle Name:ANNA
Other - Last Name:JENNINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:806 PROSPECT AVE N
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3174
Mailing Address - Country:US
Mailing Address - Phone:206-852-5124
Mailing Address - Fax:
Practice Address - Street 1:27023 164TH AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-8241
Practice Address - Country:US
Practice Address - Phone:253-630-2756
Practice Address - Fax:253-639-7145
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001571175F00000X
OR0962175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath