KATIE ROSE JENNINGS

PORTAGE, MI
NPI1609652510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601011951)
Enumeration Date2023-09-06
Last Update Date2023-10-31
Business Address
KATIE ROSE JENNINGS PA-C
3000 OLD CENTRE RD
PORTAGE, MI 49024-4883
Phone number: 269-321-7546
Mailing Address
KATIE ROSE JENNINGS PA-C
215 CALICO AVE
PORTAGE, MI 49002-7078
Phone number: