Individual
NICOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5604A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5681
(757) 455-5000
Mailing address
1403 WALNUT AVE, CHESAPEAKE, VA 23325-3733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007533
VA
Other
Enumeration date
06/21/2024
Last updated
06/22/2024
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