Individual
LORI KAY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
137 TERRACE PL, JACKSON, TN 38301-4836
(731) 435-3060
(833) 941-2599
Mailing address
137 TERRACE PL, JACKSON, TN 38301-4836
(731) 435-3060
(833) 941-2599
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
06197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507251
—
TN
Enumeration date
06/08/2005
Last updated
07/16/2021
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