Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Mackenzie Jernigan

Individual provider Personal Care Attendant · NPI 1720607716

Jacqueline Mackenzie Jernigan is a Personal Care Attendant in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

891 Maryland Ave NE
Grand Rapids, MI 49505-6005
Phone: (616) 475-7577
Fax: (616) 301-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1720607716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020

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