| Doctor Name: | EMILY JENKINS |
| NPI Number: | 1184015091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 5007476 |
| Business Practice Address: | 120 Health Center Dr Ahoskie, NC - 279108161 |
| Business Phone Number: | 2523323548 |
| Business Fax Number: | 2523321665 |
| Mailing Address: | Po Box 669, AHOSKIE |
| State: | NC |
| Postal Code: | 279100669 |
| Phone Number: | 2522090237 |
| Fax Number: | 2522099082 |
| NPI Enumeration Date: | 02/13/2015 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5007476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |