Individual
NICOLE SHERI JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5350 BRIDGE ST APT 5412, TAMPA, FL 33611-3292
(206) 900-3092
Mailing address
405 S DALE MABRY HWY # 376, TAMPA, FL 33609-2820
(206) 900-3092
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
827451
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9538015
FL
Other
Enumeration date
04/13/2018
Last updated
01/08/2021
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