Individual
KRISTEN JENKOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 GRIFFITH ST, STURGIS, MI 49091-1517
(269) 483-6191
Mailing address
1108 GRIFFITH ST, STURGIS, MI 49091-1517
(269) 483-6191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28300127A
IN
163W00000X
Registered Nurse
Primary
4704389724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28300127A
BON
IN
01
—
4704389724
BON
MI
Enumeration date
12/13/2025
Last updated
12/13/2025
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