Provider Demographics
NPI:1245648856
Name:JENKINS, JESSICA D (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:D
Last Name:JENKINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7515 GREENVILLE AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3819
Mailing Address - Country:US
Mailing Address - Phone:214-643-6405
Mailing Address - Fax:214-643-6423
Practice Address - Street 1:7515 GREENVILLE AVE STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3819
Practice Address - Country:US
Practice Address - Phone:214-643-6405
Practice Address - Fax:214-643-6423
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9265193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily