Individual
JACOB JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 SORRENTO DR, HOLLAND, MI 49423-6618
(269) 838-8215
Mailing address
168 SORRENTO DR, HOLLAND, MI 49423-6618
(269) 838-8215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601010606
MI
Other
Enumeration date
06/08/2020
Last updated
07/07/2021
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