Individual
MEREDITH JOANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3302 MCINTOSH CIR STE 1, JOPLIN, MO 64804-3648
(417) 347-7272
(417) 347-7915
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-7272
(417) 347-7915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019014624
MO
363AS0400X
Surgical Physician Assistant
2463
OK
Other
Enumeration date
01/16/2015
Last updated
07/05/2019
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