Individual
DR. NADINE S JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 HAGGERTY RD STE 2150A, WEST BLOOMFIELD, MI 48323-2192
(248) 926-6610
(248) 926-6611
Mailing address
42557 WOODWARD AVE, STE 130, BLOOMFIELD, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301059614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634908
BCBSM
MI
05
—
104851960
—
MI
01
—
5549289
AETNA
MI
Enumeration date
01/24/2006
Last updated
07/21/2022
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