Individual
JODY L JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 COLONIA DE SALUD, STE C100, SIERRA VISTA, AZ 85635-2485
(520) 452-0144
(520) 452-0075
Mailing address
75 COLONIA DE SALUD, STE C100, SIERRA VISTA, AZ 85635-2485
(520) 452-0144
(520) 452-0075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5548036
AETNA
AZ
Enumeration date
12/11/2006
Last updated
04/16/2008
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