Individual
CHRISTY LEEANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4343 W BETHANY DR, COLUMBIA, MO 65203-0532
(573) 303-6044
Mailing address
4343 W BETHANY DR, COLUMBIA, MO 65203-0532
(573) 303-6044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008036009
MO
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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