Individual
CARLA M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1108 KINGWOOD DR, AVON, IN 46123-5500
(317) 619-2133
Mailing address
3604 BUSH STREET, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5005174
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
71008420A
IN
Other
Enumeration date
04/11/2011
Last updated
10/25/2018
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