Elizabeth Cherita Jenkins, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704163024 Issued in MI

Practice address

18101 Oakwood Blvd
Interim Stay Unit
Dearborn, MI 48123-4089

Phone

(313) 982-5770

Fax

(313) 982-5771

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1215029277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 WEST OUTER DRIVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351210",
            "telephone_number": "248-798-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "address_2": "INTERIM STAY UNIT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481234089",
            "telephone_number": "313-982-5770",
            "fax_number": "313-982-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ELIZABETH",
        "middle_name": "CHERITA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704163024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E. Puccio M.D., P.C.
• Jehangir N Rao MD PLLC
• Sophia Elizabeth Jelsomeno
• Maryam Jelvani
• Susan M Jenison
• Jennifer L. Ozeir, M.D., P.C.
• Abigail Margarete Schieb Jennings
• Ricky Lee Jentons, MALLP
• Jeremy D Copple DC PC
• Jesus a Martinez MD PC

• Family Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.