Individual
LINDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 JOHNSON RD, HERMANVILLE, MS 39086-9506
(601) 702-1024
Mailing address
1039 JOHNSON RD, HERMANVILLE, MS 39086-9506
(601) 702-1024
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
32055
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32055
STATE OF MS NURSE AIDE
MS
Enumeration date
04/22/2021
Last updated
04/22/2021
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