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Angela E Jenkins, LPN

Licensed Practical Nurse in Columbia, MS. Individual provider (NPI-1).

NPI number1003530759
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1003530759
Entity type
Individual (NPI-1)
Name
Angela E Jenkins
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse335800MSYes

Practice location

1448 N Main St
Columbia, MS 39429-2068

Phone 601-736-8143

Mailing address

Po Box 18679
Hattiesburg, MS 39404-8679

Phone 601-705-1901 · Fax 601-705-1952

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Columbia, MS

All 12 Licensed Practical Nurse providers in Columbia · All 302 providers in Columbia

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