Individual
JEFFREY JAMES JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1405
(402) 354-1599
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21875
NE
207Q00000X
Family Medicine Physician
5057
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083667992
—
IA
05
—
47068731742
—
NE
Enumeration date
05/19/2006
Last updated
01/03/2014
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