CHRISTA DAWN JENNETTE - NPI 1942476908 - Private Vehicle in Olney, IL

The NPI number for Christa Jennette is 1942476908. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

The NPPES record for Christa Jennette was last updated on April 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Christa Dawn Jennette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTA DAWN JENNETTE (NPI 1942476908) is an individual private vehicle provider in Olney, Illinois and active in the NPI registry since April 2008.

NPI1942476908

Entity TypeIndividualFemale

Primary Taxonomy347C00000X

Provider Legal NameCHRISTA DAWN JENNETTE

Location Address1113 KEIFFER DROlney, IL 62450

Mailing Address1113 Keiffer DrOlney, IL 62450 · (618) 392-4106

Sole ProprietorYes

Enumeration DateApril 30, 2008

✔ NPI 1942476908 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyPrivate VehicleTransportation Services

Taxonomy Code347C00000X

Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

1113 KEIFFER DR, Olney, IL 62450

Medicaid189837230IL

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

The NPI number for Christa Jennette is 1942476908. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Christa Jennette practices at 1113 Keiffer Dr, Olney, IL 62450. The listed phone number is (618) 392-4106.

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

The NPPES record for Christa Jennette was last updated on April 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.