Individual provider · Type 1 NPI

Michelae Jennings

Nurse Practitioner · Villa Rica, GA

NPI number 1912580069 Active

Practice location

403 Permian Way
Villa Rica, GA 30180-3226

Mailing address

2104 Royal Fox Way
Decatur, GA 30032-6145

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X258064 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

Other nurse practitioner providers in Villa Rica

See all in Villa Rica →

About NPI 1912580069

Michelae Jennings's National Provider Identifier is 1912580069, issued on May 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Villa Rica, GA. The record was last updated on May 28, 2026.