Individual
MELISSA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(313) 806-2619
Mailing address
21560 KENYON AVE, PORT CHARLOTTE, FL 33952-6824
(313) 806-2619
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11019403
FL
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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