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JACQUELINE MACKENZIE JERNIGAN
NPI 1720607716
Technician - Personal Care Attendant in Grand Rapids, MI

Active since April 10, 2020
891 MARYLAND AVE NE, GRAND RAPIDS, MI 49505(616) 475-7577(616) 301-2211 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Mackenzie Jernigan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MACKENZIE JERNIGAN (NPI 1720607716) is an individual personal care attendant in Grand Rapids, Michigan and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1720607716
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJACQUELINE MACKENZIE JERNIGAN
Location Address891 MARYLAND AVE NEGrand Rapids, MI 49505-6005
Mailing Address891 Maryland Ave NeGrand Rapids, MI 49505-6005 · (616) 475-7577 · Fax (616) 301-2211
Phone(616) 475-7577
Fax(616) 301-2211
Sole ProprietorYes
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1720607716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
891 MARYLAND AVE NE, Grand Rapids, MI 49505
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENITA GIBSON
Rehabilitation Practitioner
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 608-7772
LESLEY MARTINEZ
Technician (Personal Care Attendant)
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 940-0040
MS. ALLYSON MARIE DYKLA
Technician (Personal Care Attendant)
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 608-7772
RACHEL AUGUSTINE
Rehabilitation Practitioner
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 608-7772
SYDNIE M SCHIMMEL
Technician (Personal Care Attendant)
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (855) 407-7575
SHELBY NICHOLE SELLS
Technician (Personal Care Attendant)
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 301-8000
ASHELY BEEKS
Rehabilitation Practitioner
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 608-7772
ASIA SEABOROUGH
Technician (Personal Care Attendant)
891 MARYLAND AVE NE
GRAND RAPIDS, MI 49505
Kent County (313) 424-3930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Jernigan's NPI number?

The NPI number for Jacqueline Jernigan is 1720607716. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Jacqueline Jernigan located?

Jacqueline Jernigan practices at 891 Maryland Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 475-7577.

What is Jacqueline Jernigan's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jernigan was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.