National Provider Identifier
Jennelle Carpenter
Jennelle Carpenter is listed in the NPPES registry with a primary specialty of Specialist in Lancaster, NY and a listed phone number of (716) 861-3781.
Profile Overview
- NPI
- 1720453194
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 09, 2015
- Last Updated
- December 09, 2015
Practice Location
- 196 Peppermint RD
- Lancaster, NY 14086-9001
Phone: (716) 861-3781
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1720453194
- Entity Type
- Individual
- Last Name
- Carpenter
- First Name
- Jennelle
- Name Prefix
- Mrs.
- Provider Other Last Name
- Serwacki
- Provider Other First Name
- Jennelle
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 196 Peppermint RD
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9001
- Mailing Country
- US
- Mailing Phone
- (716) 861-3781
- Practice Street Address
- 196 Peppermint RD
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-9001
- Practice Country
- US
- Practice Phone
- (716) 861-3781
- Enumeration Date
- December 09, 2015
- Last Updated
- December 09, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)