Jesse Jenkins, PA-C

NPI #1578911467 in Shaw Afb, South Carolina

Provider Information

NPI Number: 1578911467
Entity Type: Individual
Name: Jesse Jenkins, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 1, 2016
Last Updated: Aug 22, 2024

Practice Location

Address: 420 POLIFKA DR BLDG 1042
City: Shaw Afb
State: South Carolina
ZIP Code: 29152-5100
Phone: (803) 717-7099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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