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Individual
EBONY JENKINS
Active
Individual
EBONY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3012032
KY
207Q00000X
Family Medicine Physician
902428
MS
207Q00000X
Family Medicine Physician
AP10921
AZ
207Q00000X
Family Medicine Physician
Primary
AP136189
TX
Other
Enumeration date
02/06/2018
Last updated
05/16/2018
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