Individual
ELIZABETH M. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1260 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2984
(804) 518-2597
(804) 518-2598
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5645611
—
VA
Enumeration date
03/28/2006
Last updated
02/10/2022
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