Individual
MS. CASSANDRA LEE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 W GREEN TREE RD, #301, GLENDALE, WI 53209-2955
(414) 446-5895
Mailing address
1600 W GREEN TREE RD, #301, GLENDALE, WI 53209-2955
(414) 446-5895
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
86722-30
WI
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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