Individual
MICHELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7801 ROOSEVELT BLVD APT 50, PHILADELPHIA, PA 19152-3440
(610) 812-4828
Mailing address
7801 ROOSEVELT BLVD APT 50, PHILADELPHIA, PA 19152-3440
(610) 812-4828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301411
PA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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