Jacqueline Jennissen, ADC-T

NPI 1871456632 · on the registry since 2025

Practice

Address: 1003 Cloquet Ave Ste 117
Cloquet, MN 55720
Phone: (218) 879-5545
Organisation at this address: Havens Of Minnesota Llc
Haven Chemical Health Systems, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota