Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 068963 | GA |
N | 207V00000X | Obstetrician & Gynecologist | 200400783 | NC |
N | 207VX0000X | Obstetrician | 3591083 | OH |
NPI | 1346226727 |
---|---|
Provider Name | Jennifer Ann Wrenn |
First Address | Westerville, OH 43081-8780 |
Second Address | Westerville, OH 43081-8780 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 27/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2814217 | (05) | OH |
I14154 | (02) | NC |