1386086684 NPI number — MS. BONITA B JENKINS MSW, LCSWA

Table of content: MS. BONITA B JENKINS MSW, LCSWA (NPI 1386086684)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386086684 NPI number — MS. BONITA B JENKINS MSW, LCSWA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JENKINS
Provider First Name:
BONITA
Provider Middle Name:
B
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSWA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JENKINS
Provider Other First Name:
BONITA
Provider Other Middle Name:
B
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LCSWA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386086684
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
369 HWY 13 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SNOW HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28580-8472
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-747-5705
Provider Business Mailing Address Fax Number:
252-747-5635

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
369 HWY 13 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SNOW HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28580-8472
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-747-5705
Provider Business Practice Location Address Fax Number:
252-747-5635
Provider Enumeration Date:
07/27/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P008225 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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