| Doctor Name: | DR. CAROLYN ANN JENKINS |
| NPI Number: | 1255560280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 08-24AP-PL |
| Business Practice Address: | 1704 Hwy. 69 Trumann, AR - 72472 |
| Business Phone Number: | 8704834003 |
| Business Fax Number: | 8704834009 |
| Mailing Address: | 1815 Pleasant Grove Road, JONESBORO |
| State: | AR |
| Postal Code: | 724014520 |
| Phone Number: | 8709336886 |
| Fax Number: | 8709339395 |
| NPI Enumeration Date: | 07/12/2009 |
| NPI Last Update Date: | 02/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 08-24AP-PL |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |