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

Michelae Jennings

Individual provider Nurse Practitioner · NPI 1912580069

Michelae Jennings is a Nurse Practitioner in Villa Rica, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

403 Permian Way
Villa Rica, GA 30180-3226
Phone: (323) 947-8494
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 258064 (GA)

Record details

NPI number1912580069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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