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NPI Code Detail

MEDICARE: ELIZABETH M. JENKINS M.D.

MEDICARE: ELIZABETH M. JENKINS M.D.
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
1207Q00000XFamily Medicine Physician0101233248VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174584536
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH M. JENKINS M.D.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number : 804-217-7991
Provider Business Practice Location Address
First Line : 1260 TEMPLE AVE
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-2984
Country : US
Telephone Number : 804-518-2597
Fax Number : 804-518-2598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 02/10/2022

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