Individual
JACQUETTA ALGELRINA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
508 KIT ST, JACKSONVILLE, FL 32216-2026
(904) 437-2781
Mailing address
PO BOX 16011, JACKSONVILLE, FL 32245-6011
(904) 908-7712
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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