Individual
JESSICA KAY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J552403461148
—
MI
Enumeration date
05/21/2020
Last updated
11/27/2023
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