MEDICARE: CONNIE S JENKINS MD

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	2084N0400X	Neurology Physician	35069215	OH
2	2084P0800X	Psychiatry Physician	35.069215	OH

General Provider Information

NPI Number	:	1952479115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE S JENKINS MD

Provider Business Mailing Address
First Line	:	1 HEALTHY PL
Second Line	:	SUITE 105
City	:	PATASKALA
State	:	OH
Zip	:	43062-7067
Country	:	US
Telephone Number	:	740-348-1930
Fax Number	:	740-348-1931

Provider Business Practice Location Address
First Line	:	1 HEALTHY PL
Second Line	:	SUITE 105
City	:	PATASKALA
State	:	OH
Zip	:	43062-7067
Country	:	US
Telephone Number	:	740-348-1930
Fax Number	:	740-348-1931

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	05/14/2022

Similar Medicare Providers

1255330965 — DR. COLLEEN SMITH MD
Practice Location Address:

1 HEALTHY PL , SUITE 101
PATASKALA, OH
43062-7067

Practice Phone: 220-564-1900
Practice Fax: 220-564-1901

1942249735 — DALIA S ELKHAIRI MD
Practice Location Address:

1 HEALTHY PL , SUITE 201
PATASKALA, OH
43062-7067

Practice Phone: 740-348-1920
Practice Fax: 740-348-1921

1104869700 — TIFFANY E.D. INGLIS M.D.
Practice Location Address:

1 HEALTHY PL , SUITE 201
PATASKALA, OH
43062-7067

Practice Phone: 220-564-1920
Practice Fax: 220-564-1921

1851325526 — LICKING MEMORIAL PROFESSIONAL CORP
Practice Location Address:

1 HEALTHY PL , SUITE 101
PATASKALA, OH
43062-7067

Practice Phone: 740-348-1900
Practice Fax: 740-348-1901

1235159674 — LICKING MEMORIAL PROFESSIONAL CORP.
Practice Location Address:

1 HEALTHY PL , SUITE 103
PATASKALA, OH
43062-7067

Practice Phone: 740-348-1920
Practice Fax: 740-348-1921

1295809614 — LICKING MEMORIAL PROFESSIONAL CORP.
Practice Location Address:

1 HEALTHY PL , SUITE 105
PATASKALA, OH
43062-7067

Practice Phone: 740-348-1930
Practice Fax: 740-348-1931

Directions to “ CONNIE S JENKINS MD” 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.