Individual
DONALD JACKSON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6200
Mailing address
10203 E 580 RD, CATOOSA, OK 74015-6203
(918) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108781
OK
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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