Dr Christine Jo Jennings, PSYD is a
Psychologist - Clinical Child & Adolescent based in La Fayette, Georgia. Dr Christine Jo Jennings is licensed to practice in Georgia (license number 001559) and her current practice location is
406 N Main St, La Fayette, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 638-2339.
NPI number for Dr Christine Jo Jennings is 1285969089 and her current mailing address is Po Box 1085, La Fayette, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285969089.
Healthcare Provider's Profile
| Full Name | Dr Christine Jo Jennings |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 406 N Main St, La Fayette, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285969089
- Provider Enumeration Date: 10/12/2009
- Last Update Date: 10/12/2009
Medical Identifiers
Medical identifiers for Dr Christine Jo Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285969089 | NPI | - | NPPES |
| 00484811C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 001559 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christine Jo Jennings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Christine Jo Jennings, PSYD
Po Box 1085,
La Fayette, GA 30728-1085
Ph: (706) 638-2339 | Dr Christine Jo Jennings, PSYD
406 N Main St,
La Fayette, GA 30728-2424
Ph: (706) 638-2339 |
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