Individual provider · Type 1 NPI
Fridea Jenkins, MSN, APRN, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Macon, GA
NPI number
1174489603
Active
Practice location
786 Ivy Brook Way
Macon, GA 31210-5528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | PMH01260019 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174489603
Fridea Jenkins, MSN, APRN, PMHNP-C's National Provider Identifier is 1174489603, issued on Dec 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Macon, GA. The record was last updated on Mar 26, 2026.