Female

Kristen W. Jenkins APRN-C

Nurse Practitioner in Tallahassee, FL(View on Map)

Full Name

Kristen W. Jenkins APRN-C

NPI Number

1518363282

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/07/2014

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ARNP9393630

Contact
Information

Purpose

Mailing
Location

Address

11945 SAN JOSE BLVD
2532 CAPITAL MEDICAL BLVD

City

Jacksonville
Tallahassee

State

FL
FL

Postal Code

32223-1627
32308-4424

Country

US
US

Telephone Number

(904) 396-1725
(850) 900-1120

Identifiers

Identifier

014250600
Y0PQ9
054295568

Identifier State

FL
FL
GA

Identifier Issuer

Unknown
FLORIDA BLUE
DRIVERS LICENCE

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

kristen@ivyspine.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

2532 Capital Medical BlvdTallahassee, FL323084424US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2021

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