Individual
JENNIFER LYNN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CNA
Contact information
Practice address
7886 ORLEANS RD, ORLEANS, MI 48865-9761
(402) 203-0861
Mailing address
7886 ORLEANS RD, ORLEANS, MI 48865-9761
(402) 203-0861
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
80276673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-0000030134
AUTO INS
MI
Enumeration date
10/24/2022
Last updated
10/25/2022
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