MEDICARE: JENNY JENKINS APRN, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	35083	TN

General Provider Information

NPI Number	:	1598538027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY JENKINS APRN, PMHNP

Provider Business Mailing Address
First Line	:	327 VISTA DR
Second Line	:
City	:	MEDINA
State	:	TN
Zip	:	38355-6949
Country	:	US
Telephone Number	:	731-234-3776
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 MURRAY GUARD DR STE A
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3850
Country	:	US
Telephone Number	:	731-207-6282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	12/10/2025

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