Individual
MS. KRISTEN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
820 S WASHINGTON AVE, SCRANTON, PA 18505-1639
(570) 595-4496
(570) 955-0139
Mailing address
15 PUBLIC SQ, STE 600, WILKES BARRE, PA 18701-1702
(570) 826-1777
(570) 823-3040
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
SP009299
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP0029299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420039
—
PA
05
—
1007678420043
—
PA
05
—
1025989180002
—
PA
05
—
1025989180004
—
PA
Enumeration date
03/27/2007
Last updated
01/02/2025
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