Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE MACKENZIE JERNIGAN
Active Sole ProprietorJACQUELINE MACKENZIE JERNIGAN is a Foot & Ankle Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1720607716 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1720607716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2020 (6.3760105069478 yrs)
- Last Updated
- Apr 10, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
891 MARYLAND AVE NEGRAND RAPIDS, MI, 495056005Browse MI providers · Browse ZIP 49505
- Phone
- 6164757577
- Fax
- 6163012211
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| KEVIN SCHULTZ | LMSW | 1215333711 |
| LATISHA JOHNSON | — | 1669821468 |
| MICHAEL ASH | — | 1720534472 |
| MATT CLABEAUX | — | 1578010039 |
| CLARE SARNACKI | — | 1548705841 |
| MS. BRIDGET CATHLEEN GAZLAY | — | 1245768332 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.