Provider Demographics
NPI:1447625686
Name:RENTAS, JENNA M (MSN, FNP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:M
Last Name:RENTAS
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:WAITON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:197 CURTIS PKWY NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-2063
Mailing Address - Country:US
Mailing Address - Phone:706-602-9546
Mailing Address - Fax:
Practice Address - Street 1:197 CURTIS PKWY NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2063
Practice Address - Country:US
Practice Address - Phone:706-602-9546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-13
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN308634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily