Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JELANI HENNESSEY
ActiveMR. JELANI HENNESSEY is a Occupational Therapist healthcare provider located in STATE FARM, Virginia. NPI 1891262309 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · STATE FARM, VA
Registration Details
- NPI Number
- 1891262309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2018 (7.6411562574775 yrs)
- Last Updated
- May 22, 2020
- Licenses
-
50520 (CA)5069 (MD)2306604870 (VA)
Practice Information
- Address
-
3600 WOODS WAYSTATE FARM, VA, 231600002Browse VA providers · Browse ZIP 23160
- Phone
- 8045984251
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.