Provider Demographics
NPI:1336515899
Name:JENKINS, FRANCESCA
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 GABLES DR NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-4188
Mailing Address - Country:US
Mailing Address - Phone:858-722-9365
Mailing Address - Fax:505-344-9343
Practice Address - Street 1:4325 GABLES DR NE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-4188
Practice Address - Country:US
Practice Address - Phone:858-722-9365
Practice Address - Fax:505-344-9343
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
GACSWOO74051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician