# NEONATAL ASSOCIATES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790939056
- **Authorized official:** SHANNON JENKINS D.O. (MANAGER)
- **Authorized official phone:** (208) 529-7165

## Contact information

- **Practice address:** 3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
- **Practice address phone:** (208) 529-7165
- **Mailing address:** 3270 E 17TH ST \# 207, AMMON, ID 83406-6758
- **Mailing address phone:** (208) 529-7165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 0-0424 | ID | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 11/12/2008