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Individual
JENNIFER NICOLE JENKINS
Active
Individual
JENNIFER NICOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284013
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
284013
GA
Other
Enumeration date
02/17/2025
Last updated
04/03/2026
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