MEDICARE: LINDA 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
1	376K00000X	Nurse's Aide	32055	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32055	OTHER	MS	STATE OF MS NURSE AIDE

General Provider Information

NPI Number	:	1417539206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JENKINS

Provider Business Mailing Address
First Line	:	1039 JOHNSON RD
Second Line	:
City	:	HERMANVILLE
State	:	MS
Zip	:	39086-9506
Country	:	US
Telephone Number	:	601-702-1024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1039 JOHNSON RD
Second Line	:
City	:	HERMANVILLE
State	:	MS
Zip	:	39086-9506
Country	:	US
Telephone Number	:	601-702-1024
Fax Number	:

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

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

Similar Medicare Providers

1760694178 — MS. DELORIS NEVELS LPN
Practice Location Address:

2109 VALLEY OF THE MOON RD
HERMANVILLE, MS
39086-9560

Practice Phone: 601-535-2159
Practice Fax: 601-535-2159

1538377692 — MS. ANDREA MARIE CRAFT LPN
Practice Location Address:

6116 SHELBY RD
HERMANVILLE, MS
39086-9620

Practice Phone: 601-535-7937
Practice Fax: 601-535-7937

1679134183 — SUNSET RESIDENTIAL CENTER LLC
Practice Location Address:

20114B HIGHWAY 18
HERMANVILLE, MS
39086-9747

Practice Phone: 601-535-2059
Practice Fax: 601-535-2059

1639925761 — J3 RELIABLE TRANSPORT LLC
Practice Location Address:

20136 HWY 18
HERMANVILLE, MS
39086

Practice Phone: 601-617-5653
Practice Fax:

1356152201 — DIVINE CARE SERVICES, LLC
Practice Location Address:

1058 LOMAX ROAD NO 2
HERMANVILLE, MS
39086-9754

Practice Phone: 601-702-0028
Practice Fax:

1144196940 — JACKSON MENTAL HEALTH SERVICES LLC
Practice Location Address:

1035 COURTNEY RD
HERMANVILLE, MS
39086-7700

Practice Phone: 601-448-9924
Practice Fax: 601-202-4010

Directions to “ LINDA JENKINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.