Holly Jo Jenkins, RN
Individual provider Active NPI Registered Nurse · Alexander, AR
NPI 1093404451 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1093404451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R083534 (AR)
- Practice address
- 2510 Crystal Lake Rd
Alexander, AR 72002-9535 - Phone
- (501) 993-0386
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R083534 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R083534 | AR | Yes |
Addresses
Primary practice location
2510 Crystal Lake Rd
Alexander, AR 72002-9535
Mailing address
2510 Crystal Lake Rd
Alexander, AR 72002-9535
Phone (501) 993-0386
Other providers in Alexander, AR
- Harmony Clinic and Medspa, LLC
- T'Shara E Harper
- Misty Leigh Hartwick
- Elizabeth Heaggans
- Heart to Hearts Home Care, LLC
- Calvin J. Kirklin
- Lauren Penn Therapy Services LLC
- Joe David May
- Morgan McDonald
- Marquita S. McField
All providers in Alexander, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.