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Individual
SHANNON JENKINS
Active
Individual
SHANNON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
3863
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
C4692
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
O0424
ID
Other
Enumeration date
02/17/2006
Last updated
12/30/2025
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