Shelli A. Jenkins in Fort Wayne - Registered Nurse
Shelli A. Jenkins - NPI 1174505432
Shelli A. Jenkins is a Registered Nurse in Fort Wayne, Indiana. Shelli A. Jenkins practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Shelli A. Jenkins is 1174505432. The last update date is 2023-03-07.
Shelli A. Jenkins's current location address is 1818 Carew St Ste 260, Fort Wayne, Indiana. You can contact this provider via phone number 2603739250 and fax number 2603739262. The mailing address for Shelli A. Jenkins is 1818 Carew St Ste 260, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelli A. Jenkins |
|---|---|
| Address | 1818 Carew St Ste 260, Fort Wayne, Indiana |
| Phone Number | 2603739250 |
| Fax Number | 2603739262 |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1174505432 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1818 Carew St Ste 260 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054792 |
| Phone Number | 2603739250 |
| Fax Number | 2603739262 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 28099610 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200375790 | IN | -- | |
| 376642 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shelli A. Jenkins by the Centers for Medicare & Medicaid Services?
The Shelli A. Jenkins has been issued the NPI (National Provider Identifier) 1174505432, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shelli A. Jenkins is geographically located?
The Shelli A. Jenkins is physically situated at the following location: 1818 Carew St Ste 260, Fort Wayne, IN, 468054792.
What is Shelli A. Jenkins's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shelli A. Jenkins's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date did Shelli A. Jenkins receive its 1174505432 assignment from the Centers for Medicare & Medicaid Services?
The Shelli A. Jenkins was assigned its 1174505432 on 2005-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Shelli A. Jenkins's details last updated?
The information pertaining to the Shelli A. Jenkins, including its address, specialty, and other details, was most recently updated on 2023-03-07.