Individual
JAMIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Mailing address
5926 E COUNTY ROAD 25 S, WINSLOW, IN 47598-8328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003744A
IN
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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