Individual
BONNIE M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531
(228) 523-5000
(228) 523-5731
Mailing address
3513 COURTENAY CIR, OCEAN SPRINGS, MS 39564-3401
(228) 818-5589
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R832036
MS
363LG0600X
Gerontology Nurse Practitioner
R832036
MS
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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