Individual
KELLY NICOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6429 LEE HWY STE 103, CHATTANOOGA, TN 37421-4778
(800) 665-2850
Mailing address
3623 PARHAM DR, CHATTANOOGA, TN 37412-1832
(423) 771-5356
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
34996
TN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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