Individual
GINA GILLEY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
450 N MAIN ST, SPARTA, NC 28675-8608
(336) 372-5641
(336) 372-1888
Mailing address
PO BOX 208, JEFFERSON, NC 28640-0208
(336) 246-9449
(336) 982-3555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019934
NC
Other
Enumeration date
04/22/2024
Last updated
11/25/2025
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