Individual
TAMIKA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41800 HAYES RD STE 212, CLINTON TWP, MI 48038-1876
(586) 530-6950
Mailing address
41800 HAYES RD STE 212, CLINTON TWP, MI 48038-1876
(586) 530-6950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
MI
3747P1801X
Personal Care Attendant
—
MI
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
MI
05
—
3747P1801X
—
MI
05
—
8331085
—
MI
Enumeration date
07/22/2024
Last updated
02/15/2026
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