Individual
MELISSA JILL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2996 KATE BOND RD, BARTLETT, TN 38133-4030
(901) 820-7000
Mailing address
800 HWY 30 E, NEW ALBANY, MS 38652-6009
(662) 401-9604
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
176810
TN
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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