Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 17167 | TN |
NPI | 1003365388 |
---|---|
Provider Name | Sarah S Jenkins |
First Address | Nashville, TN 37203 |
Second Address | Nashville, TN 37203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2016 |
Last Update Date | 27/09/2016 |