Individual
REAGAN MICHELLE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(616) 404-1524
Mailing address
366 SE 85TH ROAD, UNIT A, WARRENSBURH, MO 64093
(334) 315-8750
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2025019364
MO
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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