MEDICARE: JUDE 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
1	237700000X	Hearing Instrument Specialist	2026011840	MO

General Provider Information

NPI Number	:	1235087081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDE JENKINS

Provider Business Mailing Address
First Line	:	904 THOMPSON BLVD
Second Line	:
City	:	SEDALIA
State	:	MO
Zip	:	65301-2241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 N KANSAS EXPY
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-1113
Country	:	US
Telephone Number	:	417-869-4270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ JUDE JENKINS ” Practice Location

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