Individual
SHANTEL T JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 925-1906
(225) 925-1972
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5820
(225) 925-1906
(225) 925-1972
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN079443
LA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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