Individual provider · Type 1 NPI

Edith Jenkins

Nurse Practitioner · Calumet City, IL

NPI number 1982142527 Active

Practice location

1515 Forest Ave
Calumet City, IL 60409-6218

Fax (708) 432-6699

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71007161A (IN)
Family Nurse Practitioner 363LF0000XF01171312 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982142527

Edith Jenkins's National Provider Identifier is 1982142527, issued on Feb 2, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Calumet City, IL. The record was last updated on Dec 29, 2019.