Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN J HENNESSEE, D.O.
ActiveDR. JONATHAN J HENNESSEE, D.O. is a Family Medicine healthcare provider located in WEST RIVER, Maryland. NPI 1972814192 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WEST RIVER, MD
Registration Details
- NPI Number
- 1972814192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2010 (16.145218763518 yrs)
- Last Updated
- Feb 14, 2017
- Licenses
-
RT-2118 (NH)H76407 (MD)
Practice Information
- Address
-
134 OWENSVILLE ROADWEST RIVER, MD, 20778Browse MD providers · Browse ZIP 20778
- Phone
- 4108674700
- Fax
- 4108678754
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WEST RIVER, MD
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS A SHEESLEY | D.O. | 1841551645 |
| CATHERINE NJIRU-SEWER | D.O. | 1063914836 |
| GABRIEL WILSON | CRNP-FAMILY | 1245947522 |
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.