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Individual

MRS. ERICA LYN JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
660A S TRUMAN BLVD, FESTUS, MO 63028-2235
(636) 931-3800
(636) 931-3911
Mailing address
18 KINGS CROSSING CT, SAINT LOUIS, MO 63129-5064
(314) 775-5125

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011040880
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2011040880
NURSE PRACTIIONER LICENSE
MO
01
209007408
CERTIFIED NURSE PRACTITIONER
IL
Enumeration date
12/23/2008
Last updated
08/09/2021
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