Individual
MR. ROBERT CLIFTON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 681-6878
(318) 681-6753
Mailing address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 681-6878
(318) 681-6753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04637
LA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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