Individual
THERESE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8101 MCCLURE DR STE 101, FORT SMITH, AR 72916-6044
(479) 484-7100
(479) 478-7255
Mailing address
PO BOX 11708, FORT SMITH, AR 72917-1708
(479) 484-7100
(479) 478-7255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-134
AR
Other
Enumeration date
11/14/2013
Last updated
01/29/2020
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