MR. PERRY SAMUEL JENKINS JR.


Address: 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5900
Phone: 9109389833

MR. PERRY SAMUEL JENKINS JR. (NPI# 1770823809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770823809
Entity Type Individual
Full Name MR. PERRY SAMUEL JENKINS JR.
Credential PMHNP-BC
Practice Address 110 Branchwood Dr Ste B
Jacksonville
NC 28546-5900
Mailing Address 204 Kali Ct
Richlands
NC 28574-8425
Practice Telephone 9109389833
Mailing Telephone 9104676865
Enumeration Date 2013-02-27
Last Update Date 2013-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
229335 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers PERRY JENKINS

NPI Name Taxonomy Address Enumeration
1982263927 Perry Jenkins Case Manager/Care Coordinator 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 2019-06-12

Office Location

Street Address 110 BRANCHWOOD DR STE B
City JACKSONVILLE
State NC
Zip Code 28546-5900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912527953 Naomi Davis Social Worker 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 2020-04-20
1992346829 Gina Merced Social Worker 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 2019-10-02
1013476308 Portia Adams Social Worker 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 2019-03-15
1871052290 Diana Marie Medina Counselor 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 2019-03-15
1609342732 Latona Burns Counselor 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5900 2018-10-16
1376923862 Karen Esbeidy Valentine Social Worker 110 Branchwood Dr Ste B, Jacksonville, NC 28546 2015-06-01
1518357953 Amanda Chavis-legerton Counselor 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5900 2015-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720691843 Eralene Manangan Nurse Practitioner 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 2020-08-28
1306456025 Richard Mercer Nurse Practitioner 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 2020-08-06
1467060434 Rebecca Bertone Nurse Practitioner 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 2020-07-16
1861018616 Octavia J Robertson Nurse Practitioner 3562 Boone Park Ave, Jacksonville, FL 32205-8433 2020-06-17
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
1811462237 Dzenefa Ramic Nurse Practitioner 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 2018-10-11
1851871024 Shakhia Grant Nurse Practitioner 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 2018-08-17
1295230845 Lacey Cawthron Nurse Practitioner 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 2018-03-27
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Competitor

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City JACKSONVILLE
Zip Code 28546

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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