MICHAEL WAYNE JENNINGS
NPI 1114719598
Home Health Aide in Wasilla, AK
Active since May 20, 2025
About Michael Wayne Jennings NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WAYNE JENNINGS (NPI 1114719598) is an individual home health aide in Wasilla, Alaska and active in the NPI registry since May 2025.
NPPES Registry Identity
NPI1114719598
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMICHAEL WAYNE JENNINGS
Location Address2955 W LEE TREVINO AVEWasilla, AK 99623-4122
Mailing Address2955 W Lee Trevino AveWasilla, AK 99623-4122 · (406) 861-0455
Phone(406) 861-0455
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1114719598 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
2955 W LEE TREVINO AVE, Wasilla, AK 99623
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114719598, enumerated as an "individual" on May 20, 2025.
The provider is located at 2955 W LEE TREVINO AVE WASILLA, AK 99623 and the phone number is (406) 861-0455.
Home Health Aide with taxonomy code 374U00000X.
