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NPI Code Detail

MEDICARE: NICOLE JENKINS

MEDICARE:   NICOLE  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
1224Z00000XOccupational Therapy Assistant408339CO

General Provider Information

NPI Number : 1225687486
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JENKINS
Provider Business Mailing Address
First Line : 11333 OAKLAND DR
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80640-7602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4450 E JEWELL AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-4605
Country : US
Telephone Number : 303-605-6319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 09/10/2019

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Directions to “ NICOLE JENKINS ” Practice Location

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