Jesse Lane Jenkins, IDC
NPI #1558947069 in Mountain City, Tennessee
Provider Information
- NPI Number
- 1558947069
- Entity Type
- Individual
- Name
- Jesse Lane Jenkins, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 1734 COLD SPRINGS RD
- City
- Mountain City
- State
- Tennessee
- ZIP Code
- 37683-4040
- Phone
- (423) 440-9174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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