| NPI | 1487133351 |
|---|---|
| Former Legal Business Name | DEBORAH JENKS |
| Entity Type | Organization |
| Authorized Contact | DEBORAH S JENKS Owner/Executive Director 910-821-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009986) | |
| 101YP2500X Counselor, Professional (Licence: NC 4461S) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-01-11 |