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Individual
BRENDA KAYE JENKINS
Active
Individual
BRENDA KAYE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
NP-744A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R212277-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807456400
—
ID
Enumeration date
05/04/2006
Last updated
03/08/2017
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