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NPI Code Detail

MEDICARE: SHELIA RANSOM JENKINS

MEDICARE: SHELIA RANSOM JENKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.029226IL
2104100000XSocial Worker
31041C0700XClinical Social Worker34762MN

General Provider Information

NPI Number : 1881972594
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELIA RANSOM JENKINS
Provider Business Mailing Address
First Line : 4501 HILL RD
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-3519
Country : US
Telephone Number : 662-645-7940
Fax Number :
Provider Business Practice Location Address
First Line : 4501 HILL RD
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-3519
Country : US
Telephone Number : 662-645-7940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2011
Last Update Date : 10/21/2025

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Directions to “ SHELIA RANSOM JENKINS ” Practice Location

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