NPI 1891083580 · live from the CMS NPI Registry
Kelly A. Jenkins, RNFA
Registered Nurse, Registered Nurse First Assistant in Roseburg, OR. National Provider Identifier 1891083580, active.
NPI record
| NPI | 1891083580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 |
| Practice phone | 541-677-4845 |
| Enumerated | July 14, 2011 |
| Last updated | July 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 082010624RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.