MICHAEL BLAKE JENNINGS

CHARLESTON, SC
NPI1700415957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  23919)
Additional Taxonomies163W00000X Registered Nurse
(Licence: SC  205747)
Enumeration Date2020-04-08
Last Update Date2025-06-10
Business Address
MICHAEL BLAKE JENNINGS CRNA
171 ASHLEY AVE
CHARLESTON, SC 29425-7112
Phone number: 843-792-1414
Mailing Address
MICHAEL BLAKE JENNINGS CRNA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414