Individual
JAQUETTA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 BEDFORD RD STE 3201, CHAPPAQUA, NY 10514-1715
(914) 623-2076
Mailing address
480 BEDFORD RD STE 3201, CHAPPAQUA, NY 10514-1715
(914) 623-2076
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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