Provider Demographics
NPI:1235901588
Name:JENKINS, ALLISON MURPHY (RN, BSN, AGNP STUDEN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MURPHY
Last Name:JENKINS
Suffix:
Gender:F
Credentials:RN, BSN, AGNP STUDEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3037
Mailing Address - Country:US
Mailing Address - Phone:774-454-4934
Mailing Address - Fax:
Practice Address - Street 1:121 CAMELOT DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3037
Practice Address - Country:US
Practice Address - Phone:774-454-4934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277187163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery