JENNA RENNELLS (NPI# 1740661503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740661503 |
| Entity Type | Individual |
| Full Name | JENNA RENNELLS |
| Credential | FNP-BC |
| Practice Address |
2900 N Saginaw St Flint MI 48505-4452 |
| Mailing Address |
8078 Hollister Rd Laingsburg MI 48848-9230 |
| Practice Telephone | 8107899141 |
| Practice Fax Number | 8107892130 |
| Mailing Telephone | 5174203829 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704285908 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2900 N SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745812 | Afroze Hai | Pediatrics | 2900 N Saginaw St, Flint, MI 48505-4452 | 2006-01-20 |
| 1407476542 | Raul Pariente | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2020-04-18 |
| 1871156646 | David Joseph Realy | Pharmacist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-04-17 |
| 1922566728 | Christopher Tanner | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-03-11 |
| 1649761065 | Mohamad Hassan Abdul Azim | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-05-21 |
| 1396240875 | Peter Azer | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-03-27 |
| 1699203216 | Samer Alhouri | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2017-05-26 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1952783441 | Michelle Cardinal Ranke | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-22 |
| 1477964930 | Hanna Tesfaye | Family Medicine | 2900 N Saginaw St, Flint, MI 48505-4452 | 2014-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739523 | Tiffany M Stafford | Nurse Practitioner | 5536 S Saginaw Rd, Flint, MI 48507-4421 | 2020-01-09 |
| 1184269599 | Tamela Renae Callahan | Nurse Practitioner | 20188 Ridgerock Dr, Flint, TX 75762-9335 | 2019-11-08 |
| 1164982229 | Randi Lynn Ballard-dickerson | Nurse Practitioner | 1140 S Linden Rd Bldg A, Flint, MI 48532-3437 | 2019-03-23 |
| 1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1144728593 | Matthew Thomas Evans | Nurse Practitioner | 1125 S Linden Rd Ste 900, Flint, MI 48532-4068 | 2018-01-30 |
| 1093213977 | Sandy Holland | Nurse Practitioner | 4100 Beecher Road, Flint, MI 48532-2819 | 2018-01-25 |
| 1245760883 | Melinda Sue Williams | Nurse Practitioner | 2304 Bradford Dr, Flint, MI 48507-4404 | 2017-06-15 |
| 1912340332 | Patricia Ann Ward | Nurse Practitioner | 1401 E. Court, Mott Community College Health Services, Flint, MI 48503 | 2013-04-16 |
| 1710119904 | Laura Lea Szakal | Nurse Practitioner | 1386 S Linden Rd, Flint, MI 48532-4185 | 2009-08-20 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.