Provider Demographics
NPI:1962141218
Name:JENKINS, SABRINA MICHELLE (CNA)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MICHELLE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 CAPELLA DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-7501
Mailing Address - Country:US
Mailing Address - Phone:501-568-9321
Mailing Address - Fax:
Practice Address - Street 1:9809 CAPELLA DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-7501
Practice Address - Country:US
Practice Address - Phone:501-568-9321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR050323691010R251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care