person
Katie Rose Jennings, PA-C
Medical Physician Assistant in Portage, Michigan
NPI 1609652510

Katie Rose Jennings is a Medical Physician Assistant based in Portage, MI and is specialized in Medical. Katie Rose Jennings practices in Portage, MI and has the professional credentials of PA-C. The NPI Number for Katie Rose Jennings is 1609652510 and holds a License No. 5601011951 (Michigan).

The current practice location address for Katie Rose Jennings is 3000 Old Centre Rd, Portage, MI and can be reached out via phone at 269-321-7546 and via fax at 269-321-1705.

Location: 3000 Old Centre Rd, Portage, MI, 49002-7078
person
Provider Profile Details
NPI Number
1609652510
Provider Name
Katie Rose Jennings
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3000 Old Centre Rd, Portage, MI, 49002-7078
Phone Number
269-321-7546
Fax Number
269-321-1705
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3000 Old Centre Rd
City
State
Zip
49024-4883
Phone Number
269-321-7546
Fax Number
269-321-1705
person
Provider Business Mailing Address Details
Address
3000 Old Centre Rd
City
State
Zip
49024-4883
Phone Number
269-321-7546
Fax Number
269-321-1705
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601011951 (Michigan)
Definition
Definition to come...
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