Individual
TRACY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SOUTHERN PINE DR, GREENVILLE, SC 29605-6260
(864) 483-2788
Mailing address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(513) 513-6237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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