Thomas Jennings

NPI 1902786312 · on the registry since 2025

Practice

Address: 4117 Oleander Dr
Wilmington, NC 28403
Phone: (910) 202-6988
Organisation at this address: Mainstreet And Kidsstreet Of North Carolina Pllc
Mainstreet And Kidsstreet Of North Carolina Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina