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Individual

BRENDA KAYE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
NP-744A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R212277-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807456400
ID
Enumeration date
05/04/2006
Last updated
03/08/2017
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