Individual
MS. DEXTERIA REBECCA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
620 N DUNLEITH AVE, WINSTON SALEM, NC 27101-3374
(336) 225-1079
Mailing address
2671 DALLAS DR, WINSTON SALEM, NC 27107-4446
(336) 225-1079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211276
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5023657
NC
Other
Enumeration date
02/10/2018
Last updated
12/22/2025
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