Healthcare Provider Details

I. General information

NPI: 1417536095
Provider Name (Legal Business Name): DANIELLE JENKS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10261 N 92ND ST STE 101
SCOTTSDALE AZ
85258-4502
US

IV. Provider business mailing address

1661 E CAMELBACK RD STE 200
PHOENIX AZ
85016-3913
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-4437
  • Fax: 480-443-4525
Mailing address:
  • Phone: 623-231-3686
  • Fax: 602-521-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number011682
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: