Provider Demographics
NPI:1891412615
Name:JENKINS, RASHIDA S (RN)
Entity Type:Individual
Prefix:MS
First Name:RASHIDA
Middle Name:S
Last Name:JENKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NORTON GLEN RD APT 64
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2540
Mailing Address - Country:US
Mailing Address - Phone:857-654-4201
Mailing Address - Fax:
Practice Address - Street 1:11 NORTON GLEN RD APT 64
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2540
Practice Address - Country:US
Practice Address - Phone:857-654-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2328431163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000000OtherDO NOT HAVE YET