Individual
KATHLEEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
303 N CLYDE MORRIS BLVD STE 550, DAYTONA BEACH, FL 32114-2709
(386) 255-2340
Mailing address
1600 SW ARCHER RD, BOX 100265, GAINESVILLE, FL 32610
(352) 273-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11008798
FL
363LA2100X
Acute Care Nurse Practitioner
2020002972
FL
Other
Enumeration date
08/22/2020
Last updated
08/26/2020
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