Individual
JEFFREY J JENKINS
Active
Individual
JEFFREY J JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8N52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164528204
—
MO
05
—
208144220
—
MO
01
—
P00294297
RR MEDICARE
—
Enumeration date
09/16/2006
Last updated
09/12/2024
Update your record
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