MEDICARE: SARAH DAWN 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	2355S0801X	Speech-Language Assistant	4273	CA
2	235Z00000X	Speech-Language Pathologist		FL
3	235Z00000X	Speech-Language Pathologist	SZ10050	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1588130959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DAWN JENKINS

Provider Business Mailing Address
First Line	:	463380 STATE ROAD 200 UNIT A
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-3240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	463380 STATE ROAD 200 UNIT A
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-3240
Country	:	US
Telephone Number	:	951-303-9250
Fax Number	:

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

Provider Enumeration Date	:	10/23/2018
Last Update Date	:	05/24/2021

Similar Medicare Providers

1184888711 — PHYSICIANS GROUP SERVICES PA
Practice Location Address:

463380 STATE ROAD 200 UNIT B
YULEE, FL
32097-3240

Practice Phone: 904-282-6331
Practice Fax: 904-866-4818

1871823849 — RENEE ELIZABETH DOLL MD
Practice Location Address:

463386 STATE ROAD 200 UNIT A
YULEE, FL
32097-3240

Practice Phone: 904-468-3080
Practice Fax: 904-468-3193

1811231061 — SHANNON KELLY MCFAULS LMHC
Practice Location Address:

463380 STATE ROAD 200 UNIT B
YULEE, FL
32097-3240

Practice Phone: 904-500-9808
Practice Fax: 904-432-0401

1710482336 — DR. TYLER MATTINGLY DO
Practice Location Address:

463386 STATE ROAD 200 UNIT A
YULEE, FL
32097-3240

Practice Phone: 904-406-3888
Practice Fax:

1013530070 — MRS. MADELINE JANE FRANCIS MS, CF-SLP
Practice Location Address:

463380 STATE ROAD 200 UNIT A
YULEE, FL
32097-3240

Practice Phone: 904-307-1129
Practice Fax:

1225654908 — JANET MOULTON, INC.
Practice Location Address:

463380 STATE ROAD 200 UNIT A
YULEE, FL
32097-3240

Practice Phone: 904-249-8893
Practice Fax: 904-372-0496

Directions to “ SARAH DAWN JENKINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.