Provider Demographics
NPI:1699487447
Name:WORLING, JENNIFER (RN)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:WORLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN BSN
Mailing Address - Street 1:375 HARRIS HILL RD UNIT 111
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7476
Mailing Address - Country:US
Mailing Address - Phone:716-476-2388
Mailing Address - Fax:866-260-9429
Practice Address - Street 1:375 HARRIS HILL RD UNIT 111
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7476
Practice Address - Country:US
Practice Address - Phone:716-476-2388
Practice Address - Fax:866-260-9429
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY579826163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management