Individual
MRS. KELLY LYNN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
106 BOW ST, ELKTON, MD 21921-5544
(443) 406-1370
Mailing address
106 BOW ST, ELKTON, MD 21921-5544
(443) 406-1370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178628
MD
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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