Individual
MRS. JUDITH E JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5220 PARK AVE, SUITE 100, MEMPHIS, TN 38119
(901) 685-8245
(901) 685-8248
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7990
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522985
—
TN
01
—
4069432
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/07/2006
Last updated
10/20/2016
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