Individual
KRISTEN W. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4424
(850) 900-1120
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
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
12/03/2021
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