Jenkins, Courtney Renae

Jenkins, Courtney Renae is an individual health care provider with primary practice located at 501 Morris St , Charleston WV 25301. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Jenkins, Courtney Renae can be contacted via phone (304) 388-6261.

Contact Information

Primary practice address
501 Morris St Charleston WV 25301
Phone: (304) 388-6261
Fax: (304) 388-3604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 57549 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 53978 West Virginia

Profile Details

NPI number 1285704726
LBN Legal business name Jenkins, Courtney Renae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285704726 NPPES
Other 430078761 RR MEDICARE
MEDICAID 2602847000 RR MEDICARE

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