Provider Demographics
NPI:1265478580
Name:JENKINS, CLAIRE E (CRNA)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:JENKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7915 LAKE MANASSAS DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3258
Mailing Address - Country:US
Mailing Address - Phone:571-248-0653
Mailing Address - Fax:571-248-0658
Practice Address - Street 1:7915 LAKE MANASSAS DR
Practice Address - Street 2:SUITE 302
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3258
Practice Address - Country:US
Practice Address - Phone:571-248-0653
Practice Address - Fax:571-248-0658
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR09930200367500000X
VA0024166767367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered