Individual
ALICIA DANIELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 30643, SAVANNAH, GA 31410-0643
(800) 566-1307
(888) 314-2974
Mailing address
4801 N BROOKSHIRE ST, OZARK, MO 65721-7211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133454
MO
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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