Individual
DAVY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
402 GOODRICH AVE, KITTERY, ME 03904
(207) 438-1130
Mailing address
402 GOODRICH AVE, KITTERY, ME 03904
(207) 438-1130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21983
CA
363LG0600X
Gerontology Nurse Practitioner
21983
CA
Other
Enumeration date
05/14/2014
Last updated
12/27/2022
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