DR. DEBORAH SUE JENKS DNP PMHNP-BC FNP-C NPI 1871550491

NPI Information

NPI: 1871550491
Provider Name: DR. DEBORAH SUE JENKS, DNP, PMHNP-BC, FNP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
14057 US HIGHWAY 17 STE 200
HAMPSTEAD, NC
ZIP 28443
Phone: (910) 821-1418
Get Directions

DR. Deborah Sue Jenks, DNP, PMHNP-BC, FNP-C is a psychiatric/mental health nurse practitioner in Hampstead, NC with 7 years of experience. DR. Deborah Sue Jenks, DNP, PMHNP-BC, FNP-C NPI is 1871550491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14057 US HIGHWAY 17 STE 200
HAMPSTEAD, NC
ZIP 28443-793
Phone: (910) 821-1418
Fax: (866) 860-0997

The NPI 1871550491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5009986	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	S4461	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	500986	NORTH CAROLINA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024175505	VIRGINIA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5009986	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5009986	OTHER	NORTH CAROLINA	NORTH CAROLINA BOARD OF NURSING
2	0024175505	OTHER	VIRGINIA	VIRGINA BOARD OF NURSING
3	0024175505	OTHER	NORTH CAROLINA	NURSE PRACTITIONER
4	4461S	OTHER	NORTH CAROLINA	NORTH CAROLINA BOARD OF PROFESSIONAL COUNSELORS
5	6102245	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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