Individual
MS. JILL REA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
20606 N IH 35, WEST, TX 76691-1812
(469) 219-3142
Mailing address
202 W HIGHLAND ST, WEST, TX 76691-1118
(254) 218-2877
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
143826
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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