Individual
LORI A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 N PROSPECT ST, HAGERSTOWN, MD 21740-3725
(301) 733-7330
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R179026
MD
Other
Enumeration date
12/04/2018
Last updated
12/06/2023
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