Most Relevant Information
Provider Data
| NPI Number: | 1003530759 |
| Provider Name: | ANGELA E JENKINS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 335800 |
Most Important Dates
| Enumeration Date: | 09/27/2022 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
1448 N MAIN ST
COLUMBIA
MS
394292068
Practice Location Phone/Fax
| Phone: | 6017368143 |
| Fax: |
Provider Mailing Location
PO BOX 18679
HATTIESBURG
MS
394048679
Provider Mailing Phone/Fax
| Phone: | 6017051901 |
| Fax: | 6017051952 |