Individual
HEATHER JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
871 PACER DR NW, CORYDON, IN 47112-2145
(812) 738-0317
Mailing address
411 BUCK CREEK VALLEY RD SE, CORYDON, IN 47112-5937
(812) 972-4347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27061756A
IN
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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