Doctor Name: | MS. LEAH NICHOLE JENKINS |
NPI Number: | 1386089910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP-BC |
License Number: | 3008040 |
Business Practice Address: | 252 Main St Cadiz, KY - 422119153 |
Business Phone Number: | 2705222555 |
Business Fax Number: | 2705222550 |
Mailing Address: | 252 Main St, P.o. Box 312 CADIZ |
State: | KY |
Postal Code: | 422119153 |
Phone Number: | 2705222555 |
Fax Number: | 2705222550 |
NPI Enumeration Date: | 05/09/2013 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 3008040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |