| Tracy Jenkins, FNP-C | |
|
Po Box 128, C/o Office Of Student Affairs, Virginia Building, Banner Elk, NC 28604 | |
| (828) 898-8798 | |
| Not Available |
| Full Name | Tracy Jenkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 128, Banner Elk, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457134991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024187809 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5022631 (North Carolina) | Primary |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255602694 PECOS PAC ID: 7012820889 Enrollment ID: O20031107000339 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
| Entity Name | Agenacare Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144947508 PECOS PAC ID: 5890158489 Enrollment ID: O20230830000917 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Jenkins, FNP-C Po Box 2155, Banner Elk, NC 28604-2155 Ph: () - | Tracy Jenkins, FNP-C Po Box 128, C/o Office Of Student Affairs, Virginia Building, Banner Elk, NC 28604 Ph: (828) 898-8798 |