Individual
REBECCA SUE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3523 WHIPPOORWILL RD, LOUISVILLE, KY 40213
(502) 938-3683
Mailing address
3523 WHIPPOORWILL RD, LOUISVILLE, KY 40213
(502) 938-3683
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
50085884
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50085884
CNA CERTIFICATION NUMBER
KY
Enumeration date
12/05/2014
Last updated
12/05/2014
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