Carolyn Jenkins, LPN
Individual provider Active NPI Licensed Practical Nurse · Cherry Valley, MA
NPI 1174416283 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1174416283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN99748 (MA)
- Practice address
- 17 Logan St
Cherry Valley, MA 01611-3269 - Phone
- (413) 544-1579
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN99748 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN99748 | MA | Yes |
Addresses
Primary practice location
17 Logan St
Cherry Valley, MA 01611-3269
Mailing address
17 Logan St
Cherry Valley, MA 01611-3269
Other providers in Cherry Valley, MA
- Laura Ann Crotty
- Julia Delissio
- Diane Levinson Counseling, LLC
- Sofia Kristina Ferrer
- Gentle Hearts Home Healthcare LLC
- Kaitlin Nicole Luccarelli
- Moses Makor
- Molly Rose McCue
- Elias Medina
- New Words Speech and Language PLLC
All providers in Cherry Valley, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. 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.