MICHELAE JENNINGS

VILLA RICA, GA
NPI1912580069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  258064)
Enumeration Date2021-05-05
Last Update Date2026-05-28
Business Address
MICHELAE JENNINGS
403 PERMIAN WAY
VILLA RICA, GA 30180-3226
Phone number: 323-947-8494
Mailing Address
MICHELAE JENNINGS
2104 ROYAL FOX WAY
DECATUR, GA 30032-6145
Phone number: 323-947-8494
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