| Doctor Name: | MRS. DARLENE G JENKINS |
| NPI Number: | 1023001591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R32005 |
| Business Practice Address: | 121 N Main Melrose, NM - 88124 |
| Business Phone Number: | 5752534212 |
| Business Fax Number: | 5752534214 |
| Mailing Address: | Po Box 843, PORTALES |
| State: | NM |
| Postal Code: | 881300843 |
| Phone Number: | 5753566695 |
| Fax Number: | 5753565948 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 04/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R32005 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |