Individual
JENNIFER INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 WOLF RUN RD, WEST PORTSMOUTH, OH 45663-9031
(740) 370-8735
Mailing address
108 WOLF RUN RD, WEST PORTSMOUTH, OH 45663-9031
(740) 370-8735
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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