Individual
RENATA M JENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036148052
IL
207N00000X
Dermatology Physician
87033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296575
L&I
WA
05
—
1700848462
—
WA
Enumeration date
04/06/2006
Last updated
03/04/2026
Update your record
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