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NPI Profile for DEXTERIA R JENKINS in WINSTON-SALEM, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI Number | 1790284214 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 02/10/2018 | |
| Last updated | 12/22/2025 - About 5 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEXTERIA R JENKINS
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DEXTERIA R JENKINS, AGNP