Individual
ANNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 NATURESCAPE CT, O FALLON, IL 62269-6971
(952) 270-5364
Mailing address
1109 NATURESCAPE CT, O FALLON, IL 62269-6971
(952) 270-5364
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
Primary
041547234
IL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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