Provider Demographics
NPI:1508506932
Name:JENKINS, CAITLYN C (AUD)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:C
Last Name:JENKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:E
Other - Last Name:CROWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:501 JACK STEPHENS DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5551
Practice Address - Country:US
Practice Address - Phone:501-686-5878
Practice Address - Fax:501-603-1539
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist