Individual
JORDANN ANN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
4022 E 500 N, OSSIAN, IN 46777-9659
(260) 409-3033
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30008624A
IN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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