Individual
CARA S. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS- PEDIATRIC OUTPATIENT CENTER, GREENVILLE, NC 27834
(252) 744-1967
(252) 744-3811
Mailing address
P.O. BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
(252) 744-3258
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L002696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151HH
BCBSNC
NC
Enumeration date
09/03/2008
Last updated
07/27/2011
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