Janet Jenkin Imp M.D.

NPI 1023005717 - Pediatrics - 208000000X

NPI Details
NPI 1023005717
Gender Female
Enumeration Date 09/29/2005
Last Updated 01/04/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
500 N WASHINGTON AVE
SUITE 105
TITUSVILLE FL, 32796-2759, US
Phone (321) 268-0267
Fax (321) 268-3357
Business Location
PO BOX 1137
MELBOURNE FL, 32902-1137, US
Phone (321) 952-9696
Fax (321) 724-2422
Toxanomy
Taxonomy Code 208000000X
License State Wisconsin
License Number 48806-20
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According to our database, Dr. Janet Jenkin Imp M.D. NPI is 1023005717, taxonomy code is 208000000X and license number is 48806-20, license state is located at Wisconsin. Janet Jenkin Imp M.D. physically located at 500 N Washington Ave, Titusville FL, 32796-2759. NPI Number Janet Jenkin Imp M.D. has the Individual type.

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1023005717 NPI number is provided on an as is basis without warranty of any kind. 1023005717 is maintained by the National Plan & Provider Enumeration System. The contents of Janet Jenkin Imp M.D. are for informational purposes only.