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NPI Code Detail

MEDICARE: TYLER JENKINS NP-C

MEDICARE: TYLER JENKINS NP-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
1363LF0000XFamily Nurse PractitionerRN2292412MA
2163W00000XRegistered NurseRN2292412MA

General Provider Information

NPI Number : 1912596735
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER JENKINS NP-C
Provider Business Mailing Address
First Line : 165 UNIVERSITY DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-8900
Country : US
Telephone Number : 413-256-0421
Fax Number : 413-256-4242
Provider Business Practice Location Address
First Line : 165 UNIVERSITY DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-8900
Country : US
Telephone Number : 413-256-0421
Fax Number : 413-256-4242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 06/18/2026

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