Individual
JESSICA M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MSC 10, MACON, GA 31201-2102
(478) 633-1007
Mailing address
777 HEMLOCK ST # 117, MACON, GA 31201-2102
(478) 633-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-148252
AL
363L00000X
Nurse Practitioner
Primary
RN191896
GA
Other
Enumeration date
04/14/2015
Last updated
08/19/2020
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