Provider Demographics
NPI:1174514095
Name:PLANNED PARENTHOOD
Entity type:Organization
Organization Name:PLANNED PARENTHOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LUZIA-ULIN
Authorized Official - Last Name:CERNY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, NP-C
Authorized Official - Phone:336-768-2980
Mailing Address - Street 1:3000 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4002
Mailing Address - Country:US
Mailing Address - Phone:336-768-2980
Mailing Address - Fax:336-765-6599
Practice Address - Street 1:3000 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4002
Practice Address - Country:US
Practice Address - Phone:336-768-2980
Practice Address - Fax:336-765-6599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900459251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare