Individual
CHANNA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6121
Mailing address
PO BOX 512, TABIONA, UT 84072-0512
(435) 823-1804
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
318841-3102
UT
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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