Most Relevant Information
Provider Data
| NPI Number: | 1003282120 |
| Provider Name: | DONNA JENKINS PAUSE NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN129689 |
Most Important Dates
| Enumeration Date: | 08/12/2015 |
| Last Updated: | 02/16/2016 |
Provider Practice Location
517 GREAT OAKS DR
SUITE 102
MONROE
GA
306558211
Practice Location Phone/Fax
| Phone: | 7702676565 |
| Fax: | 7702671524 |
Provider Mailing Location
517 GREAT OAKS DR
SUITE 102
MONROE
GA
306558211
Provider Mailing Phone/Fax
| Phone: | 7702676565 |
| Fax: | 7702671524 |