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

Michaela Jean Ennis

Individual provider Pediatric Registered Nurse · NPI 1922649680

Michaela Jean Ennis is a Pediatric Registered Nurse in Baldwinsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

38 Seneca St
Baldwinsville, NY 13027-2809
Phone: (315) 558-0976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 721390 (NY)

Record details

NPI number1922649680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

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