Individual
JACQUELINE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
104 LUKE DR, MONROE, LA 71203-6769
(318) 791-4563
Mailing address
104 LUKE DR, MONROE, LA 71203-6769
(318) 791-4563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237326
LA
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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