Individual
MS. CELESTE C JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
419 SW 13TH AVE, OCALA, FL 34471-1718
(352) 648-6491
Mailing address
419 SW 13TH AVE, OCALA, FL 34471-1718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5232791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5232791
LPN LICENSE
FL
Enumeration date
09/22/2021
Last updated
09/22/2021
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