Individual
JODI JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 LILLIAN DR, LIVINGSTON, TX 77351-3803
(936) 433-6896
Mailing address
117 LILLIAN DR, LIVINGSTON, TX 77351-3803
(936) 433-6896
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
193427
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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