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Beau Jenkins, ATC/LAT
NPI 1265830632 · on the registry since 2014
Practice
- Address
- 300 Northwest Plz
164
Senatobia, MS 38668 - Phone
- (662) 812-1168
- Organisation at this address
- Aseracare Hospice - Senatobia, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi