Individual
NICOLE ALEXANDRIA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4800 E DOUBLETREE RANCH RD, PARADISE VALLEY, AZ 85253-1524
(520) 405-4999
Mailing address
6835 E HEARN RD, SCOTTSDALE, AZ 85254-3414
(520) 405-4999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6039
AZ
235Z00000X
Speech-Language Pathologist
TSLP6039
AZ
Other
Enumeration date
01/16/2009
Last updated
07/05/2023
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