Individual
JENNA RENAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704318315
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704318315
MI
Other
Enumeration date
07/11/2021
Last updated
03/18/2026
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