Perry Samuel Jenkins Jr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

229335 Issued in NC

Practice address

110 Branchwood Dr Ste B
Jacksonville, NC 28546-5900

Phone

(910) 938-9833

NPI assigned

Feb 27, 2013

Last updated

Dec 17, 2013By the provider in NPPES

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Vision Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morehead City, NC
  • NPI 1346657533
  Authorized official Same address or phone
• A Better Place Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • New Bern, NC
  • NPI 1992071674
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD (past)
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD (past)

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1770823809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 KALI CT",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748425",
            "telephone_number": "910-467-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BRANCHWOOD DR STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465900",
            "telephone_number": "910-938-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PERRY",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "229335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayds Transport LLC
• Francisca Jean Noel
• Shneighter Jean
• McKenzie Kori Jefferson, FNP-C
• Irene Elizabeth Jenkins, COTA
• Susan B Jensen, DNP, CPNP-PC
• Taylor Jerosimich
• Ashley Jerread
• Desai Victor Jiang, MD
• Larry Norman Johannessen, PHD MSW LCSW MDIV

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.