Individual
JOHNNISHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15050 ERIN PARK AVE, EASTPOINTE, MI 48021-1531
(313) 414-1541
Mailing address
15050 ERIN PARK AVE, EASTPOINTE, MI 48021-1531
(313) 414-1541
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/30/2025
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