Jesse Lane Jenkins, IDC
Jesse Lane Jenkins, IDC is an Independent Duty Corpsman in Mountain City, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1734 Cold Springs RdMountain City, TN 37683-4040
Phone: (423) 440-9174
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1558947069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | March 23, 2021 |
| Certification date | March 23, 2021 |