Individual
CHRISTOPHER JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
111 LAKESHORE DRIVE, C302, BRANDON, MS 39047-6016
(518) 466-1366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56181
MN
208000000X
Pediatrics Physician
56181
MN
2080P0203X
Pediatric Critical Care Medicine Physician
01078714A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25228
MS
2080P0203X
Pediatric Critical Care Medicine Physician
Q7394
TX
Other
Enumeration date
07/30/2009
Last updated
10/09/2017
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