Individual provider · Type 1 NPI

Katie Rose Jennings, PA-C

Physician Assistant · Portage, MI

NPI number 1609652510 Active

Practice location

3000 Old Centre Rd
Portage, MI 49024-4883

Call (269) 321-7546 Map

Fax (269) 321-1705

Mailing address

7760 Ts Ave E
Scotts, MI 49088-9748

Other practice locations

  • 400 Medical Park Dr, Watervliet, MI 49098-9225 · (269) 463-3600
  • 551 Linn St, Allegan, MI 49010-1595 · (269) 321-7546
  • 3950 Hollywood Rd Ste 100, St. Joseph, MI 49085-9151 · (269) 408-1625
  • 711 S Health Pkwy, Three Rivers, MI 49093-9387 · (269) 321-7546
  • 451 Health Pkwy Ste A, Paw Paw, MI 49079-8242 · (269) 321-7546

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601011951 (MI)
Physician Assistant Primary 363A00000X5601011951 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

21 other providers at this address

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About NPI 1609652510

Katie Rose Jennings, PA-C's National Provider Identifier is 1609652510, issued on Sep 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portage, MI. The record was last updated on Jun 3, 2026.