Individual
DR. JACOB RUSSELL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
275 MICHIGAN ST NE FL 6, GRAND RAPIDS, MI 49503-2531
(616) 267-8700
Mailing address
275 MICHIGAN ST NE FL 6, GRAND RAPIDS, MI 49503-2531
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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