Most Relevant Information
Provider Data
| NPI Number: | 1003445479 |
| Provider Name: | TARALYNNE JENKINS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 237219 |
Most Important Dates
| Enumeration Date: | 04/07/2020 |
| Last Updated: | 04/07/2020 |
Provider Practice Location
8770 HONEYCOMB PATH
CICERO
NY
130397835
Practice Location Phone/Fax
| Phone: | 3158825177 |
| Fax: |
Provider Mailing Location
8770 HONEYCOMB PATH
CICERO
NY
130397835
Provider Mailing Phone/Fax
| Phone: | 3158825177 |
| Fax: |