Jenkins, Dana
Jenkins, Dana is an individual health care provider with primary practice located at 300 W Hospital Rd Connelly Health Clinic, Fort Gordon GA 30905-5741. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jenkins, Dana can be contacted via phone (706) 787-5161.Contact Information
Primary practice address
300 W Hospital Rd Connelly Health Clinic
Fort Gordon GA 30905-5741
Phone: (706) 787-5161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN117622 | Georgia |
Profile Details
| NPI number | 1023064359 |
|---|---|
| LBN Legal business name | Jenkins, Dana |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Oct 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023064359 | NPPES |
| Georgia | MEDICAID | 000871406B | |
| Georgia | MEDICAID | NPO386 | |
| Georgia | MEDICAID | 000871406A |
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