| Doctor Name: | JENNIFER LYNNE JENKS |
| NPI Number: | 1073792792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 0024167579 |
| Business Practice Address: | 21785 Filigree Court Suite 201 Ashburn, VA - 20147 |
| Business Phone Number: | 7037269930 |
| Business Fax Number: | 7037238283 |
| Mailing Address: | 21785 Filigree Court, Suite 201 ASHBURN |
| State: | VA |
| Postal Code: | 20147 |
| Phone Number: | 7037269930 |
| Fax Number: | 7037238283 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 02/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 0024167579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |