Individual provider · Type 1 NPI

Christa Dawn Jennette

Private Vehicle · Olney, IL

NPI number 1942476908 Active

Practice location

1113 Keiffer Dr
Olney, IL 62450

Call (618) 392-4106 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

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

About NPI 1942476908

Christa Dawn Jennette's National Provider Identifier is 1942476908, issued on Apr 30, 2008. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Olney, IL. The record was last updated on Apr 30, 2008.