Individual
BRETT JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2815 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2224
(863) 284-5000
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKLELAND, FL 33805
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP11003460
FL
Other
Enumeration date
10/18/2019
Last updated
07/18/2022
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