NPI 1063766285

Brittany Nichole Jenkins

Practitioner Other Technician Rockford, IL

Practice location

Address: 6905 E State St, Rockford, IL 61108-2692
Phone: (815) 397-4142

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Illinois →

Registry record

NPI: 1063766285
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2012
Record last updated: 9 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.