Individual provider · Type 1 NPI
Selisa Smitson Jenks, MD
General Practice Physician · Colorado Springs, CO
NPI number
1013128339
Active
Practice location
142 S Raven Mine Dr Ste 250
Colorado Springs, CO 80905-4406
Mailing address
745 Palomar Ln
Colorado Springs, CO 80906-1086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 30528 (CO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1013128339
Selisa Smitson Jenks, MD's National Provider Identifier is 1013128339, issued on May 25, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 25, 2024.