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NPI Code Detail

MEDICARE: JASON JENKINS

MEDICARE: JASON 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
1103TS0200XSchool PsychologistOH

General Provider Information

NPI Number : 1881526846
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON JENKINS
Provider Business Mailing Address
First Line : 15275 WELLS RD
Second Line :
City : ANNA
State : OH
Zip : 45302-2500
Country : US
Telephone Number : 937-332-6700
Fax Number :
Provider Business Practice Location Address
First Line : 500 N MARKET ST
Second Line :
City : TROY
State : OH
Zip : 45373-1418
Country : US
Telephone Number : 937-332-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JASON JENKINS ” Practice Location

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