Individual
LISA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 OLD COACH RD, NICHOLASVILLE, KY 40356-9782
(901) 603-6537
Mailing address
196 OLD COACH RD, NICHOLASVILLE, KY 40356-9782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/07/2025
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