Provider Demographics
NPI:1740764125
Name:JENKINS, ALLISON JOANN (MA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOANN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 WILLIAMS BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-6285
Mailing Address - Country:US
Mailing Address - Phone:504-405-5597
Mailing Address - Fax:504-336-3066
Practice Address - Street 1:1942 WILLIAMS BLVD STE 12
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-6285
Practice Address - Country:US
Practice Address - Phone:504-405-5597
Practice Address - Fax:504-336-3066
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care