Individual
CHARNEL NICOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 MEADOWBROOK DR, FORT WORTH, TX 76112-5326
(214) 930-6077
(817) 587-1950
Mailing address
PO BOX 25571, FORT WORTH, TX 76124-2571
(214) 930-6077
(817) 587-1950
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/20/2023
Last updated
02/26/2026
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