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Deidree Nichole Jenkins, fnp

Nurse Practitioner, Family in Douglas, GA. Individual provider (NPI-1).

NPI number1730816331
StatusActive
Last updated in NPPESMar 15, 2023

Details

NPI
1730816331
Entity type
Individual (NPI-1)
Name
Deidree Nichole Jenkins
Credential
fnp
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2022
Certification date
Mar 15, 2023
Last updated
Mar 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN276896GAYes
363LF0000X Nurse Practitioner, FamilyNCO-000003GA

Practice location

904 Evergreen Ln
Douglas, GA 31533-1801

Phone 678-584-3999

Mailing address

Po Box 104
Douglas, GA 31534-0104

Phone 678-584-3999

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Other Family Nurse Practitioner providers in Douglas, GA

All 65 Family Nurse Practitioner providers in Douglas · All 577 providers in Douglas

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