Individual
MICHELLE L. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 MAC BLVD, NEVADA, MO 64772-3990
(660) 890-8248
Mailing address
320 MAC BLVD, NEVADA, MO 64772-3990
(660) 890-8248
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2010023982
MO
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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