Individual
DR. LA'WANDA Y. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, PMHCNS-BC
Contact information
Practice address
814 WREN RD STE A, GOODLETTSVILLE, TN 37072-2312
(615) 851-3063
(615) 420-6413
Mailing address
704 TUCKAHOE DR, MADISON, TN 37115-3429
(615) 337-4932
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
353093-01
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353093-01
CLINICAL SPECIALIST IN ADULT PSYCHIATRIC AND MENTAL HEALTH NURSING
TN
01
—
APN0000010506
ADVANCED PRACTICE NURSE
TN
Enumeration date
12/01/2017
Last updated
12/01/2017
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