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Individual

JESSICA M JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, MSN

Contact information

Practice address
10085 DARROW RD, TWINSBURG, OH 44087-1409
(305) 573-2696
Mailing address
10085 DARROW RD, TWINSBURG, OH 44087-1409
(330) 573-2696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14630
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.14630-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0085818
OH
Enumeration date
05/23/2013
Last updated
07/29/2020
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