Individual
MRS. ERICA LYN JENKS
Active
Individual
MRS. ERICA LYN JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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