Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE LANE JENKINS, IDC
Active Sole ProprietorJESSE LANE JENKINS, IDC is a Independent Duty Corpsman healthcare provider located in MOUNTAIN CITY, Tennessee. NPI 1558947069 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · MOUNTAIN CITY, TN
Registration Details
- NPI Number
- 1558947069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2021 (5.3567158652061 yrs)
- Last Updated
- Mar 23, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1734 COLD SPRINGS RDMOUNTAIN CITY, TN, 376834040Browse TN providers · Browse ZIP 37683
- Phone
- 4234409174
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.