Jenkins, Annie Elizabeth

Jenkins, Annie Elizabeth is an individual health care provider with primary practice located at 212 S 13Th Ave , Laurel MS 39440-4226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jenkins, Annie Elizabeth can be contacted via phone (601) 649-3821.

Contact Information

Primary practice address
212 S 13Th Ave Laurel MS 39440-4226
Phone: (601) 649-3821
Fax: (601) 649-3827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R607584 Mississippi

Profile Details

NPI number 1700930823
LBN Legal business name Jenkins, Annie Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 31st, 2010 - about 14 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 1700930823 NPPES
Mississippi Other R607584 NURSING
Mississippi MEDICAID 0115231 NURSING

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