Individual
DR. DANA JO JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 S FULTON ST, CASSOPOLIS, MI 49031-1316
(269) 845-1527
Mailing address
122 S FULTON ST, CASSOPOLIS, MI 49031-1316
(269) 845-1527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704238418NSA2209R
MI
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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