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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023064359 NPPES
Georgia MEDICAID 000871406B
Georgia MEDICAID NPO386
Georgia MEDICAID 000871406A

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