NPI 1083338735

Angela Jenkins, CPSS

Practitioner Peer Specialist Hattiesburg, MS

Practice location

Address: 103 S 19th Ave, Hattiesburg, MS 39401-6171
Phone: (601) 544-4641
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0526 (MS)

Other Peer Specialist providers in Mississippi →

Registry record

NPI: 1083338735
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 27 Sep 2022

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.