Provider Demographics
NPI:1124560255
Name:JENKINS, PRECIOUS (AHFP)
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:AHFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3878
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:222 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3878
Practice Address - Country:US
Practice Address - Phone:337-321-9204
Practice Address - Fax:337-267-8556
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach