Provider Demographics
NPI:1457061376
Name:JENKINS, MARGARET A (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:A
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHEAST OHIO VA HEALTHCARE SYSTEM
Mailing Address - Street 2:10701 EAST BOULEVARD
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1702
Mailing Address - Country:US
Mailing Address - Phone:216-791-3800
Mailing Address - Fax:
Practice Address - Street 1:AKRON FACILITY
Practice Address - Street 2:55 W. WATERLOO RD
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319
Practice Address - Country:US
Practice Address - Phone:330-724-7715
Practice Address - Fax:216-229-6048
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.106990.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLPN.106990.MEDSOtherNORTHEAST OHIO VA HEALTHCARE SYSTEM