Yolanda Shemika Jenkins, RN BSN

Individual provider Active NPI Registered Nurse · Mescalero, NM

NPI 1689967051 · NPPES record last updated May 18, 2011

Key facts

NPI
1689967051
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
128688-RN (LA)
Practice address
318 Abaloone Loop
Mescalero, NM 88340
Phone
(575) 464-4411
Fax
(575) 464-4422
NPI assigned
May 18, 2011
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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
128688-RNLAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 128688-RN LA Yes

Addresses

Primary practice location

318 Abaloone Loop
Mescalero, NM 88340

Mailing address

318 Abaloone Loop
Mescalero, NM 88340
Phone (575) 464-4411

Other providers in Mescalero, NM

All providers in Mescalero, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.