Individual
MRS. MARIBETH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 VILLAGE DR STE 350, ABILENE, TX 79606-8231
(325) 672-7055
Mailing address
301 APPLE BLOSSOM DR, ABILENE, TX 79602-6008
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
762233
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1021685
TX
Other
Enumeration date
07/18/2019
Last updated
02/03/2021
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