Individual
DANA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC, FORT GORDON, GA 30905-5741
(706) 787-5161
Mailing address
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC, FORT GORDON, GA 30905-5741
(706) 787-5161
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN117622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000871406A
—
GA
05
—
000871406B
—
GA
05
—
NPO386
—
SC
Enumeration date
05/26/2006
Last updated
10/08/2013
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