Provider Demographics
NPI:1821374273
Name:JENKINS, SARAH NICOLE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NICOLE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:NICOLE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:6223 BIG BEND CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5526
Mailing Address - Country:US
Mailing Address - Phone:410-303-4889
Mailing Address - Fax:
Practice Address - Street 1:1557 N OGDEN ST FL 3
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1489
Practice Address - Country:US
Practice Address - Phone:410-844-6401
Practice Address - Fax:844-820-7074
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0003122-C-NP363LA2200X, 363LP0808X
MDR175526363LA2200X
MDAC004146363LA2200X
MDAC004145363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health