Provider Demographics
NPI:1982724373
Name:JENKINS, PATRICIA JEAN (ARNPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JEAN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:ARNPC
Other - Prefix:
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Mailing Address - Street 1:500 TRINITY LN N
Mailing Address - Street 2:APT 3210
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1215
Mailing Address - Country:US
Mailing Address - Phone:813-527-4221
Mailing Address - Fax:
Practice Address - Street 1:140 FOUNTAIN PKWY N
Practice Address - Street 2:SUITE 230
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1285
Practice Address - Country:US
Practice Address - Phone:813-527-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9217680363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner