Individual
DR. JEREMY DALE JINKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(210) 916-7641
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810005876
VA
103TC0700X
Clinical Psychologist
0810005876
VA
Other
Enumeration date
01/18/2009
Last updated
07/21/2023
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