Individual provider · Type 1 NPI

Jordan Larue Fulcher Jenkins, FNP-C

Family Nurse Practitioner · Madison, MS

NPI number 1922577378 Active

Practice location

111 Kelly Blvd
Madison, MS 39110-1206

Call (601) 898-6080 Map

Mailing address

502 Fawn Cv
Canton, MS 39046-9417

Other practice locations

  • 3680 Lakeland Ln, Jackson, MS 39216-4707 · (601) 982-5055
  • 5420 US-80, Pearl, MS 39208 · (601) 988-6800
  • 230 River Oaks Dr, Canton, MS 39046-5351 · (601) 607-9050
  • 4540 Manhattan Rd, Jackson, MS 39206-6022 · (601) 982-7421

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903027 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1922577378

Jordan Larue Fulcher Jenkins, FNP-C's National Provider Identifier is 1922577378, issued on Nov 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, MS. The record was last updated on Apr 29, 2024.