Individual
MR. KEITH ALLEN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC, FNP
Contact information
Practice address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
(925) 282-1778
Mailing address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19606
TN
363LF0000X
Family Nurse Practitioner
4704335557
MI
363LF0000X
Family Nurse Practitioner
95010338
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
19606
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010338
CA
Other
Enumeration date
12/22/2014
Last updated
03/27/2025
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