Individual
QUALYNN S. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
2529 LAKE ST, LAKE CHARLES, LA 70601-8211
(337) 912-9758
Mailing address
2529 LAKE ST, LAKE CHARLES, LA 70601-8211
(337) 912-9758
(337) 735-9760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
AP08021
LA
363LF0000X
Family Nurse Practitioner
AP08021
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08021
LA
Other
Enumeration date
09/12/2014
Last updated
09/17/2025
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