Healthcare Provider Details

I. General information

NPI: 1306228580
Provider Name (Legal Business Name): AARON JENKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 ASHLAND AVE OFC 146
BALTIMORE MD
21205-1531
US

IV. Provider business mailing address

1741 ASHLAND AVE OFC 146
BALTIMORE MD
21205-1531
US

V. Phone/Fax

Practice location:
  • Phone: 443-923-7600
  • Fax:
Mailing address:
  • Phone: 443-923-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD0104663
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: