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NPI Code Detail

MEDICARE: JENNA JENKINS

MEDICARE: JENNA JENKINS
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
1163WA0400XAddiction (Substance Use Disorder) Registered NurseRN.521049OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0041609OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154006997
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA JENKINS
Provider Business Mailing Address
First Line : 506 JEANNINE ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1110
Country : US
Telephone Number : 740-534-2216
Fax Number :
Provider Business Practice Location Address
First Line : 303 3RD AVE
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1144
Country : US
Telephone Number : 866-534-2639
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 03/15/2026

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