Individual
ABAGAEL R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S WEST ST STE B, TIPTON, IN 46072-1848
(765) 408-0570
(765) 453-8008
Mailing address
202 S WEST ST, TIPTON, IN 46072-1848
(765) 408-0570
(765) 453-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28232523A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012910A
IN
Other
Enumeration date
05/16/2022
Last updated
01/23/2025
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