Individual
ANNIE ELIZABETH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
212 S 13TH AVE, LAUREL, MS 39440-4226
(601) 649-3821
(601) 649-3827
Mailing address
PO BOX 128, 912 HIGHWAY 15, STRINGER, MS 39481-0128
(601) 428-1341
(601) 649-4487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R607584
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115231
—
MS
01
—
R607584
NURSING
MS
Enumeration date
01/23/2007
Last updated
03/31/2010
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