Individual
SHAMILLE RANAYE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8296 SW 103RD STREET RD, OCALA, FL 34481
(352) 299-6847
Mailing address
8296 SW 103RD STREET RD, OCALA, FL 34481-1701
(352) 301-3147
(866) 624-1204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9455385
FL
163WH0200X
Home Health Registered Nurse
Primary
9455385
FL
163WP0200X
Pediatric Registered Nurse
9455385
FL
164W00000X
Licensed Practical Nurse
5223312
FL
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
FL
3747P1801X
Personal Care Attendant
—
FL
374U00000X
Home Health Aide
—
FL
376J00000X
Homemaker
—
FL
376K00000X
Nurse's Aide
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103717200
—
FL
Enumeration date
05/29/2012
Last updated
09/17/2021
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