Individual
NOAH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
38260 TAMARAC BLVD APT 115, WILLOUGHBY, OH 44094-8157
(248) 210-0539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007161RX
OH
Other
Enumeration date
09/08/2021
Last updated
09/09/2021
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