Most Relevant Information
Provider Data
| NPI Number: | 1003669839 |
| Provider Name: | RACHEL ANN JENNINGS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71015182A |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
615 N MICHIGAN ST
SOUTH BEND
IN
466011033
Practice Location Phone/Fax
| Phone: | 5746471000 |
| Fax: |
Provider Mailing Location
615 N MICHIGAN ST
SOUTH BEND
IN
466011033
Provider Mailing Phone/Fax
| Phone: | 5746471000 |
| Fax: |