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General NPI Number Information
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NPI Number | 1750182051
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Entity Type | Individual
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Provider Name | JOSEPH DAVID JENKINS APRN
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Gender | Male
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 860 GLENWOOD AVE SE APT 601
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City | ATLANTA
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State | GA
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Zip | 30316-2097
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Country | US
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Telephone | 404-312-4882
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Fax |
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Provider Business Mailing Address
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Address Line | 860 GLENWOOD AVE SE APT 601
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City | ATLANTA
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State | GA
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Zip | 30316-2097
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Country | US
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Telephone | 404-312-4882
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN298354
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN298354
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN298354
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN298354
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License Number State | GA
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