Individual
SHANNON MARIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101265314
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
13891674-1205
UT
Other
Enumeration date
04/24/2015
Last updated
04/03/2024
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