Individual
SHELTON HUNTER JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 292-4006
(866) 229-7081
Mailing address
909 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 292-4006
(866) 229-7081
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60124
ID
Other
Enumeration date
10/06/2022
Last updated
04/02/2024
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