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Individual

DR. DEBORAH SUE JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC, FNP-C

Contact information

Practice address
14057 US HIGHWAY 17 STE 200, HAMPSTEAD, NC 28443-3793
(910) 821-1418
(866) 860-0997
Mailing address
14057 US HIGHWAY 17 STE 200, HAMPSTEAD, NC 28443-3793
(910) 821-1418
(866) 860-0997

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S4461
NC
363LF0000X
Family Nurse Practitioner
500986
NC
363LF0000X
Family Nurse Practitioner
5009986
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024175505
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009986
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024175505
NURSE PRACTITIONER
NC
01
0024175505
VIRGINA BOARD OF NURSING
VA
01
4461S
NORTH CAROLINA BOARD OF PROFESSIONAL COUNSELORS
NC
01
5009986
NORTH CAROLINA BOARD OF NURSING
NC
05
6102245
NC
Enumeration date
04/27/2006
Last updated
01/11/2023
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