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Individual

KRISTEN W. JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-C

Contact information

Practice address
2540 LAKESHORE DR, MARIANNA, FL 32446-0102
(850) 273-8107
(850) 965-1592
Mailing address
2540 LAKESHORE DR, MARIANNA, FL 32446-0102
(850) 273-8107
(850) 965-1592

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9393630
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014250600
FL
01
054295568
DRIVERS LICENCE
GA
01
Y0PQ9
FLORIDA BLUE
FL
Enumeration date
11/07/2014
Last updated
05/26/2026
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