MEDICARE: KIMBERLY NICOLE 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
1	363L00000X	Nurse Practitioner	716833	TX
2	363LF0000X	Family Nurse Practitioner	AP118526	TX

General Provider Information

NPI Number	:	1518297720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY NICOLE JENKINS NP

Provider Business Mailing Address
First Line	:	2 GREENWAY PLZ
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77046-0297
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 LITTLE YORK RD STE A5
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-3658
Country	:	US
Telephone Number	:	281-707-7358
Fax Number	:

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

Provider Enumeration Date	:	01/11/2010
Last Update Date	:	04/26/2024

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