Most Relevant Information
Provider Data
| NPI Number: | 1003367210 |
| Provider Name: | JOHNATHAN CHARLES JENNINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 2101001628 |
Most Important Dates
| Enumeration Date: | 10/24/2016 |
| Last Updated: | 10/24/2016 |
Provider Practice Location
10327 W BROAD ST
GLEN ALLEN
VA
230606716
Practice Location Phone/Fax
| Phone: | 8047543600 |
| Fax: | 8047541411 |
Provider Mailing Location
10327 W BROAD ST
GLEN ALLEN
VA
230606716
Provider Mailing Phone/Fax
| Phone: | 8047543600 |
| Fax: | 8047541411 |