Individual
LISA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
107 CRIMSON CT, LANCASTER, KY 40444-9073
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1097682
KY
Other
Enumeration date
08/28/2015
Last updated
10/17/2016
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