Individual
CAROLINE H. JENCKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1590
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3337
(401) 788-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP22482
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CJ18682
—
RI
Enumeration date
06/07/2006
Last updated
11/20/2015
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