Individual provider Active NPI

Jonnea Jenkins, RN

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1861150435
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN615379 Issued in PA
Practice address
964 Allengrove St # B
Philadelphia, PA 19124-2410
Phone
(267) 385-0076
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN615379 PA Primary

Addresses

Primary practice location

964 Allengrove St # B
Philadelphia, PA 19124-2410

Mailing address

964 Allengrove St # B
Philadelphia, PA 19124-2410
Phone (267) 385-0076

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@trupersonalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN615379PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1861150435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 ALLENGROVE ST # B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242410",
            "telephone_number": "267-385-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 ALLENGROVE ST # B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242410",
            "telephone_number": "267-385-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JONNEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN615379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@trupersonalcare.com",
            "affiliation": "N",
            "address_1": "964 Allengrove St # B",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191242410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.