Individual provider · Type 1 NPI
Jill Jenkins Manchester, NP
Pediatric Nurse Practitioner · San Bruno, CA
NPI number
1144587668
Active
Practice location
2439 Whitman Way
San Bruno, CA 94066-3852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 352100 (CA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1144587668
Jill Jenkins Manchester, NP's National Provider Identifier is 1144587668, issued on Apr 20, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Bruno, CA. The record was last updated on Apr 20, 2012.