Most Relevant Information
Provider Data
  | NPI Number: | 1003550153 | 
| Provider Name: | MICHELLE JERNIGAN RN,BSN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 163WW0101X | 
| Specialty: | Registered Nurse | 
| License Number: | 290873 | 
Most Important Dates
  | Enumeration Date: | 04/25/2022 | 
| Last Updated: | 04/25/2022 | 
Provider Practice Location
  420 N JAMES RD
      
      COLUMBUS
      OH
      432191834
  Practice Location Phone/Fax
      | Phone: | 6142575200 | 
| Fax: | 
Provider Mailing Location
  420 N JAMES RD
      
      COLUMBUS
      OH
      432191834
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |