Individual
JASON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2512 HURST DR, MATTOON, IL 61938
(217) 258-5900
(217) 258-3686
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011280
IL
363L00000X
Nurse Practitioner
APRN2709
HI
Other
Enumeration date
09/11/2014
Last updated
04/29/2025
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