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Individual

JACK STEPHEN JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
229 TUDOR AVE, RIVER RIDGE, LA 70123-1324
(504) 315-0305

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LA

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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