Individual
KIMBERLY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143-5096
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
304896
AZ
363LF0000X
Family Nurse Practitioner
Primary
F02241000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228202
—
AZ
Enumeration date
03/01/2024
Last updated
06/12/2026
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