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Individual

KRISTIE G JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2908 S LAMAR BLVD, SUITE 100, OXFORD, MS 38655-5354
(662) 281-0112
(662) 281-0943
Mailing address
2908 S LAMAR BLVD, SUITE 100, OXFORD, MS 38655-5354
(662) 281-0112
(662) 281-0943

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
901358
MS

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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