Individual
ELIZABETH BLAIR JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1486 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703-1214
(631) 425-3811
(929) 455-9839
Mailing address
1486 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703-1214
(631) 425-3811
(929) 455-9839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353279
NY
Other
Enumeration date
01/10/2024
Last updated
04/29/2025
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