Individual
SHANNON SUMMERS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6271 N BUCK CREEK PIKE, MOORELAND, IN 47360-9535
(860) 455-5757
Mailing address
6271 N BUCK CREEK PIKE, MOORELAND, IN 47360-9535
(860) 455-5757
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28284697C
IN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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