Individual provider · Type 1 NPI

Justin Charles Jenkins

Specialist · Tacoma, WA

NPI number 1154501013 Active

Practice location

6615 6th Ave
Tacoma, WA 98406-2027

Fax (253) 565-7110

Mailing address

2914 S 14th St
Tacoma, WA 98405-2407

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMAOOO16111 (WA)

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 1154501013

Justin Charles Jenkins's National Provider Identifier is 1154501013, issued on Nov 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Nov 8, 2007.