Healthcare Provider Details

I. General information

NPI: 1811827421
Provider Name (Legal Business Name): CHRISTINA JENNINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DUKE MEDICINE CIR
DURHAM NC
27710-2000
US

IV. Provider business mailing address

PO BOX 90484
DURHAM NC
27708-0484
US

V. Phone/Fax

Practice location:
  • Phone: 919-613-2797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number319490
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: