Most Relevant Information
Provider Data
NPI Number: | 1003485178 |
Provider Name: | KIERRA JENKINS NP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 215178 |
Most Important Dates
Enumeration Date: | 06/22/2021 |
Last Updated: | 03/19/2024 |
Provider Practice Location
11101 BOCK RD
SHERWOOD
AR
721202571
Practice Location Phone/Fax
Phone: | 5016582725 |
Fax: |
Provider Mailing Location
425 W CAPITOL AVE STE 244
LITTLE ROCK
AR
722013440
Provider Mailing Phone/Fax
Phone: | 5014003731 |
Fax: |