KEITH ALLEN JENKINS

COSTA MESA, CA
NPI1700274974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95010338)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TN  19606)
363LF0000X Nurse Practitioner, Family
(Licence: MI  4704335557)
363LF0000X Nurse Practitioner, Family
(Licence: CA  95010338)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  19606)
Enumeration Date2014-12-22
Last Update Date2024-09-04
Business Address
Mr. KEITH ALLEN JENKINS DNP, PMHNP-BC, FNP
1640 NEWPORT BLVD STE 110
COSTA MESA, CA 92627-7762
Phone number: 925-282-1778
Mailing Address
Mr. KEITH ALLEN JENKINS DNP, PMHNP-BC, FNP
1640 NEWPORT BLVD STE 110
COSTA MESA, CA 92627-7762
Phone number: