Doctor Name: | HARVETTE CARMELLE JENKINS |
NPI Number: | 1114914488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 9900552 |
Business Practice Address: | 4510 Premier Dr High Point, NC - 272658349 |
Business Phone Number: | 3368695000 |
Business Fax Number: | 3368695044 |
Mailing Address: | 6605 Daniel Pierce Dr, GREENSBORO |
State: | NC |
Postal Code: | 274104078 |
Phone Number: | 3362745000 |
Fax Number: | 3362475064 |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9900552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |