MEDICARE: SARAH JENKINS FNP-C

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	363LF0000X	Family Nurse Practitioner	R178746	MD

General Provider Information

NPI Number	:	1366803058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JENKINS FNP-C

Provider Business Mailing Address
First Line	:	9199 REISTERSTOWN RD STE 101B
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4513
Country	:	US
Telephone Number	:	443-898-8160
Fax Number	:	443-898-8916

Provider Business Practice Location Address
First Line	:	9199 REISTERSTOWN RD STE 101B
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4513
Country	:	US
Telephone Number	:	443-898-8160
Fax Number	:	443-898-8916

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

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/05/2025

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