Individual
CHRISTINA DAWN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 HALTON RD, GREENVILLE, SC 29607-3496
(864) 692-6699
Mailing address
238 BUTLER RD, WILLIAMSTON, SC 29697-9616
(910) 265-1187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG02210040
SC
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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