National Provider Identifier
Mikaela Jean Jennings, DO
Mikaela Jean Jennings, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 862-1881.
Profile Overview
- NPI
- 1679277412
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2692
Phone: (716) 862-1881
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1679277412
- Entity Type
- Individual
- Last Name
- Jennings
- First Name
- Mikaela
- Middle Name
- Jean
- Credential
- DO
- Provider Other Last Name
- Flax
- Provider Other First Name
- Mikaela
- Provider Other Middle Name
- Jean
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2157 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2692
- Mailing Country
- US
- Mailing Phone
- (716) 862-1881
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2692
- Practice Country
- US
- Practice Phone
- (716) 862-1881
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)