Individual
TRACI LYN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
100 INDIAN HILLS DRIVE, MACY, NE 68039
(402) 837-5381
(402) 837-5303
Mailing address
100 INDIAN HILLS DRIVE, MACY, NE 68039-0250
(402) 837-5381
(402) 837-5303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111066
NE
363LF0000X
Family Nurse Practitioner
111066
NE
363LP2300X
Primary Care Nurse Practitioner
Primary
111066
NE
Other
Enumeration date
09/11/2009
Last updated
06/01/2021
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