Individual
COURTNEY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4114 SUNBEAM RD STE 300, JACKSONVILLE, FL 32257-8870
(904) 962-8151
Mailing address
4114 SUNBEAM RD STE 300, JACKSONVILLE, FL 32257-8870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9291978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015498700
—
FL
Enumeration date
07/08/2015
Last updated
02/02/2017
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