Individual provider · Type 1 NPI

Shavese Keitary Jenkins

Licensed Practical Nurse · Bluefield, WV

NPI number 1932061629 Active

Practice location

2920 E Cumberland Rd
Bluefield, WV 24701-4807

Call (304) 960-1714 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X40661 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1932061629

Shavese Keitary Jenkins's National Provider Identifier is 1932061629, issued on Dec 1, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bluefield, WV. The record was last updated on Dec 1, 2025.