Individual
JENNIFER ANNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PHMNP-BC
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202106913RN
OR
163W00000X
Registered Nurse
RN60666821
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202108216NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60993254
WA
390200000X
Student in an Organized Health Care Education/Training Program
AP60993254
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922573658
—
WA
Enumeration date
10/09/2018
Last updated
06/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us