Individual
REBECCA A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1021 W OAKLAND AVE STE 301A, JOHNSON CITY, TN 37604-2192
(423) 952-8008
(423) 952-8009
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5105
TN
390200000X
Student in an Organized Health Care Education/Training Program
5105
TN
Other
Enumeration date
03/23/2020
Last updated
01/27/2026
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