Individual
LACY M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY, SUITE 330, MEMPHIS, TN 38120-8300
(901) 725-5846
(901) 726-4827
Mailing address
DEPT 2607 PO BOX 11407, BIRMINGHAM, AL 35246-2607
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20599
TN
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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