Individual
MICHELLE L JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 BRYAN DR, SUITE 303, DURANT, OK 74701-2156
(580) 931-2227
(580) 931-2057
Mailing address
HC 71 BOX 157-1, SOPER, OK 74759-9764
(210) 885-3875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2281
OK
363A00000X
Physician Assistant
Primary
PA07522
TX
363AM0700X
Medical Physician Assistant
2281
OK
Other
Enumeration date
01/18/2012
Last updated
09/11/2025
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