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

Q: What is the provider's specialty?

The provider's specialty is Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.

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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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