Individual
DR. REBECCA LYNN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5 N FEDERAL AVE STE 104, MASON CITY, IA 50401-3270
(641) 494-2404
Mailing address
5 N FEDERAL AVE STE 104, MASON CITY, IA 50401-3270
(641) 494-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02933
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265223
—
IA
05
—
3125625
—
IA
01
—
54422
BCBS-GROUP NO.
IA
01
—
54430
BCBS-INDIVIDUAL NO.
IA
Enumeration date
01/11/2006
Last updated
10/21/2016
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