# STACY JENKINS, MD, PLC

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

## Provider details

- **NPI number:** 1801079017
- **Authorized official:** DR. STACY ANN JENKINS M.D. (OWNER)
- **Authorized official phone:** (248) 618-9400

## Contact information

- **Practice address:** 44555 WOODWARD AVE., SUITE 202, PONTIAC, MI 48341
- **Practice address phone:** (248) 499-9390
- **Practice address fax:** (248) 499-9385
- **Mailing address:** 44555 WOODWARD AVE., SUITE 202, PONTIAC, MI 48341
- **Mailing address phone:** (248) 499-9390
- **Mailing address fax:** (248) 499-9385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | MI | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 03/07/2023