Jenks, Erica Lyn

Jenks, Erica Lyn is an individual health care provider with primary practice located at 660A S Truman Blvd , Festus MO 63028-2235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jenks, Erica Lyn can be contacted via phone (636) 931-3800.

Contact Information

Primary practice address
660A S Truman Blvd Festus MO 63028-2235
Phone: (636) 931-3800
Fax: (636) 931-3911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011040880 Missouri

Profile Details

NPI number 1477799369
LBN Legal business name Jenks, Erica Lyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2008
Last updated Aug 9th, 2021 - about 3 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 1477799369 NPPES
Missouri Other 2011040880 NURSE PRACTIIONER LICENSE
Missouri Other 209007408 NURSE PRACTIIONER LICENSE

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