Individual
MICHELLE NICOLA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17674 N LITCHFIELD RD, SURPRISE, AZ 85374-2478
(623) 281-3001
(480) 906-2180
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20124
AZ
363LA2200X
Adult Health Nurse Practitioner
5010178
NC
Other
Enumeration date
01/13/2018
Last updated
08/07/2024
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