Individual
CHARLENE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
PO BOX 678268, DALLAS, TX 75267-8268
(414) 732-5405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8919-33
WI
Other
Enumeration date
08/18/2020
Last updated
11/25/2020
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