NPI 1114719598
Michael Wayne Jennings
Practice location
- Address
- 2955 W Lee Trevino Ave, Wasilla, AK 99623-4122
- Phone
- (406) 861-0455
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1114719598
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 May 2025
- Record last updated
- 20 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.