NPI 1275184897
Carol Jo Jenks
Practice location
- Address
- 838 Vay Rd, Priest River, ID 83856-7768
- Phone
- (208) 597-5196
- Mailing address
- 268 Jenks Rd, Spirit Lake, ID 83869-9391
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1275184897
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2019
- Record last updated
- 25 Sep 2019
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.