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FRIDEA JENKINS MSN, APRN, PMHNP-C
NPI 1174489603
Nurse Practitioner - Psychiatric/Mental Health in Macon, GA

Active since December 29, 2025
786 IVY BROOK WAY, MACON, GA 31210(478) 952-9984 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Jan 14, 2026, Dec 29, 2025 (3 updates tracked since 2025).

About Fridea Jenkins Msn, Aprn, Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRIDEA JENKINS MSN, APRN, PMHNP-C (NPI 1174489603) is an individual psychiatric/mental health provider in Macon, Georgia, licensed in Georgia (PMH01260019) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1174489603
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFRIDEA JENKINSCredential: MSN, APRN, PMHNP-C
Location Address786 IVY BROOK WAYMacon, GA 31210-5528
Mailing Address786 Ivy Brook WayMacon, GA 31210-5528 · (478) 952-9984
Phone(478) 952-9984
Sole ProprietorYes
Enumeration DateDecember 29, 2025
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1174489603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · PMH01260019
786 IVY BROOK WAY, Macon, GA 31210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fridea Jenkins's NPI number?

The NPI number for Fridea Jenkins is 1174489603. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Fridea Jenkins located?

Fridea Jenkins practices at 786 Ivy Brook Way, Macon, GA 31210. The listed phone number is (478) 952-9984.

What is Fridea Jenkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fridea Jenkins was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.