Jenkins, Jordan Larue Fulcher

Jenkins, Jordan Larue Fulcher is an sole proprietor health care provider with primary practice located at 111 Kelly Blvd , Madison MS 39110-1206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jenkins, Jordan Larue Fulcher can be contacted via phone (601) 898-6080.

Contact Information

Primary practice address
111 Kelly Blvd Madison MS 39110-1206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 903027 Mississippi

Profile Details

NPI number 1922577378
LBN Legal business name Jenkins, Jordan Larue Fulcher
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2018
Last updated Apr 29th, 2024 - about 2 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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