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NPI Code Detail

MEDICARE: CHRISTOPHER JENKINS NP

MEDICARE: CHRISTOPHER JENKINS NP
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
1363LF0000XFamily Nurse Practitioner16851TN

General Provider Information

NPI Number : 1124373857
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JENKINS NP
Provider Business Mailing Address
First Line : 1514 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1317
Country : US
Telephone Number : 931-473-8400
Fax Number : 931-473-6667
Provider Business Practice Location Address
First Line : 1514 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1317
Country : US
Telephone Number : 931-473-8400
Fax Number : 931-473-6667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 11/10/2020

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