IndividualActive
Michelle Jennings
NPI 1104334077 · Adult Health Nurse Practitioner · Surprise, AZ
Provider details
- NPI number
- 1104334077
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20124 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17674 N Litchfield Rd
Surprise, AZ 85374-2478
Phone: (623) 281-3001
Fax: (480) 906-2180
Approximate (ZIP-level) locationGet directions
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Additional practice locations (2)
- 6052 N 59th AveGlendale, AZ 85301-7709Phone: (480) 618-0176
- 1235 Ramsey StFayetteville, NC 28301-4401Phone: (910) 433-3834
Registry dates
- Enumerated
- 2018-01-13
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.