Individual
MACI JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 WESTWOOD DR, VAN WERT, OH 45891-2464
(419) 238-6747
Mailing address
3354 TOWNSHIP ROAD 108, HUNTSVILLE, OH 43324-9613
(937) 935-2603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0039797
OH
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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