Individual
WILLIAM CODY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 649-8767
(985) 649-8838
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 234-0542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95410
WV
163W00000X
Registered Nurse
RN6711331
PA
163W00000X
Registered Nurse
RN9368756
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
203444
LA
367500000X
Certified Registered Nurse Anesthetist
95410
WV
Other
Enumeration date
12/18/2017
Last updated
08/28/2019
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