Individual
JENNA RENNELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
104 W EXCHANGE ST, OWOSSO, MI 48867-2816
(989) 675-7910
Mailing address
8078 HOLLISTER RD, LAINGSBURG, MI 48848-9230
(517) 420-3829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704285908
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704285908
MI
Other
Enumeration date
06/17/2015
Last updated
03/27/2024
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