Individual provider · Type 1 NPI

Charles Ray Jenkins, ACNP

Acute Care Nurse Practitioner · Livonia, MI

NPI number 1730475401 Active

Practice location

36123 Schoolcraft Rd
Livonia, MI 48150-1216

Fax (734) 402-0254

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN.292449 (OH)
Acute Care Nurse Practitioner Primary 363LA2100XNP-12217 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730475401

Charles Ray Jenkins, ACNP's National Provider Identifier is 1730475401, issued on Jun 21, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Livonia, MI. The record was last updated on Jan 14, 2020.