Individual
TRACY C. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602
(717) 544-7890
(717) 544-7157
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-7890
(717) 544-7157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN296435L
PA
Other
Enumeration date
04/19/2006
Last updated
10/26/2018
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