Individual
JAMES MICHAEL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 SIERRA DR STE 800, GREENWOOD, IN 46143-7284
(317) 528-8282
(317) 528-8284
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094785A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11022173A
IN
Other
Enumeration date
05/09/2022
Last updated
07/14/2025
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