Individual
JENELLE DEVENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
79 HILLSDALE ST, HILLSDALE, MI 49242-1208
(517) 439-9800
(517) 439-1230
Mailing address
79 HILLSDALE ST, HILLSDALE, MI 49242-1208
(517) 439-9800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301011024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301011024
STATE LICENSE
MI
Enumeration date
11/20/2020
Last updated
11/20/2020
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