Individual
DR. JESSE J JENKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MAIL STOP 250, MEMPHIS, TN 38105-3678
(901) 595-6304
(901) 595-3100
Mailing address
262 DANNY THOMAS PL, MAIL STOP 250, MEMPHIS, TN 38105-3678
(901) 595-6304
(901) 595-3100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
16483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117968
—
MS
05
—
0030716
—
NJ
05
—
0071944
—
MT
05
—
009912870
—
AL
05
—
0527671
—
IA
05
—
100033050A
—
OK
05
—
104677796
—
MI
05
—
132315001
—
AR
05
—
1429694
—
LA
05
—
2000631
—
OH
05
—
200179700A
—
IN
05
—
205140304
—
MO
05
—
3808768
—
TN
05
—
422400000
—
ME
05
—
64926843
—
KY
05
—
7612397
—
NC
Enumeration date
05/23/2005
Last updated
07/22/2014
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