Individual
THOMAS SCOTT JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
69536
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008515
—
WV
Enumeration date
01/31/2007
Last updated
06/02/2008
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