IndividualActive
Andrew Jenkins, CRNA
NPI 1366694176 · Certified Registered Nurse Anesthetist · Charleston, WV
Provider details
- NPI number
- 1366694176
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 58071 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1201 Washington St E
Charleston, WV 25301-1834
Phone: (304) 300-1800
Fax: (304) 388-8125
Approximate (ZIP-level) locationGet directions
Mailing address
130 Moorefield Pl
Scott Depot, WV 25560-9562
Registry dates
- Enumerated
- 2008-10-13
- Last updated
- 2019-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.