Most Relevant Information
Provider Data
| NPI Number: | 1003533753 |
| Provider Name: | JENNIFER LYNN MCKENNA MA, CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 80276673 |
Most Important Dates
| Enumeration Date: | 10/24/2022 |
| Last Updated: | 10/25/2022 |
Provider Practice Location
7886 ORLEANS RD
ORLEANS
MI
488659761
Practice Location Phone/Fax
| Phone: | 4022030861 |
| Fax: |
Provider Mailing Location
7886 ORLEANS RD
ORLEANS
MI
488659761
Provider Mailing Phone/Fax
| Phone: | 4022030861 |
| Fax: |