| Doctor Name: | MS. TERESA JENKINS |
| NPI Number: | 1285727560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | F303187 |
| Business Practice Address: | 3709 Erie Blvd Dewitt, NY - 132142227 |
| Business Phone Number: | 3152512244 |
| Business Fax Number: | 3152512240 |
| Mailing Address: | 304 Genesee St, CHITTENANGO |
| State: | NY |
| Postal Code: | 130371707 |
| Phone Number: | 3152512244 |
| Fax Number: | 3152512240 |
| NPI Enumeration Date: | 10/01/2006 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F303187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |