Individual
MR. GRANT JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
56 N PECOS RD, HENDERSON, NV 89074-7331
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
835371
NV
390200000X
Student in an Organized Health Care Education/Training Program
RN670925
PA
Other
Enumeration date
07/27/2016
Last updated
04/06/2021
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