Individual provider · Type 1 NPI

John L. Jenkins, MD

Specialist · South Bend, IN

NPI number 1003818212 Active

Practice location

621 Memorial Dr, Ste 502
South Bend, IN 46601-1075

Call (574) 234-9001 Map

Fax (574) 287-5367

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01025732 (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003818212

John L. Jenkins, MD's National Provider Identifier is 1003818212, issued on Jun 1, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Bend, IN. The record was last updated on Oct 6, 2010.