Individual
DAVID JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 MITCH DANIELS BLVD, STE C AND D, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Mailing address
501 LAPIN LN, WEST LAFAYETTE, IN 47906-9487
(708) 870-8099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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