Individual
MS. REBECCA ANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP,ACNP
Contact information
Practice address
13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912-4347
(239) 343-3800
(239) 343-3993
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-3993
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71000796A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11018558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114213200
—
FL
05
—
201052580
—
IN
01
—
P01588228
MEDICARE RAILROAD PTAN
IN
Enumeration date
04/12/2007
Last updated
03/20/2024
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