Individual
JASON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 846-6620
Mailing address
65 VALLEY RD, MIDDLETOWN, RI 02842-5234
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN72761
RI
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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