National Provider Identifier
Ebony L Jenkins
Ebony L Jenkins is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Kenmore, NY and a listed phone number of (716) 566-7771.
Profile Overview
- NPI
- 1821751496
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- October 20, 2021
- Last Updated
- October 20, 2021
Practice Location
- 262 Woodward Ave
- Kenmore, NY 14217-1539
Phone: (716) 566-7771
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1821751496
- Entity Type
- Individual
- Last Name
- Jenkins
- First Name
- Ebony
- Middle Name
- L
- Mailing Street Address
- 262 Woodward Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1539
- Mailing Country
- US
- Mailing Phone
- (716) 566-7771
- Mailing Fax
- (716) 873-0564
- Practice Street Address
- 262 Woodward Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1539
- Practice Country
- US
- Practice Phone
- (716) 566-7771
- Practice Fax
- (716) 873-0564
- Enumeration Date
- October 20, 2021
- Last Updated
- October 20, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)