Provider Demographics
NPI:1467752832
Name:JENKINS-PYE, CONNIE E (MSW, CFF)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:E
Last Name:JENKINS-PYE
Suffix:
Gender:F
Credentials:MSW, CFF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4547 DESLIN CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-7499
Mailing Address - Country:US
Mailing Address - Phone:850-656-3722
Mailing Address - Fax:
Practice Address - Street 1:4547 DESLIN CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-7499
Practice Address - Country:US
Practice Address - Phone:850-656-3722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker