Individual
DAMITHRI N JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 747-7796
(314) 286-0745
Mailing address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 747-7796
(314) 286-0745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022002465
MO
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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