Individual provider · Type 1 NPI

Raquel Jenkins

Prevention Professional · Black Jack, MO

NPI number 1558247486 Active

Practice location

13755 Old Halls Ferry Rd
Black Jack, MO 63033-4129

Mailing address

61 Brookhill Ct
Collinsville, IL 62234-6044

Specialties and licenses

TaxonomyCodeLicense
Prevention Professional Primary 405300000X855544 (MO)

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

About NPI 1558247486

Raquel Jenkins's National Provider Identifier is 1558247486, issued on Aug 14, 2025. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in Black Jack, MO. The record was last updated on Aug 14, 2025.