Jenkins, Angela D

Jenkins, Angela D is an individual health care provider with primary practice located at 380 Hospital Dr. Ste 410, Macon GA 31217-8014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jenkins, Angela D can be contacted via phone (478) 746-5644.

Contact Information

Primary practice address
380 Hospital Dr. Ste 410 Macon GA 31217-8014
Phone: (478) 746-5644
Fax: (478) 745-4849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN144846 Georgia

Profile Details

NPI number 1023098977
LBN Legal business name Jenkins, Angela D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Dec 13th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023098977 NPPES
Georgia Other 549669 WELLCARE
Georgia MEDICAID AN1383 WELLCARE
Georgia MEDICAID 269333706A WELLCARE
Georgia Other P00819049 WELLCARE
Georgia Other 580628385 WELLCARE

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