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Individual

NIKITA L JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, RN-BC

Contact information

Practice address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
Mailing address
PO BOX 365, STARKE, FL 32091-0365
(904) 769-1122

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9383636
FL

Other

Enumeration date
12/22/2017
Last updated
12/22/2017
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