THERESE JENKINS (NPI# 1386074102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386074102 |
Entity Type | Individual |
Full Name | THERESE JENKINS |
Credential | PA |
Practice Address |
8101 Mcclure Dr Ste 101 Fort Smith AR 72916-6044 |
Mailing Address |
Po Box 11708 Fort Smith AR 72917-1708 |
Practice Telephone | 4794847100 |
Practice Fax Number | 4794787255 |
Mailing Telephone | 4794847100 |
Mailing Fax Number | 4794787255 |
Enumeration Date | 2013-11-14 |
Last Update Date | 2020-01-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-134 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8101 MCCLURE DR STE 101 |
City | FORT SMITH |
State | AR |
Zip Code | 72916-6044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801854062 | Norma Smith | Obstetrics & Gynecology | 8101 Mcclure Dr Ste 101, Fort Smith, AR 72916-6040 | 2006-05-03 |
1083916894 | Norma Smith Md Pa | Clinic/Center | 8101 Mcclure Dr Ste 101, Fort Smith, AR 72916-6040 | 2010-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
1285946004 | William Justin Hayes Md Pa | Clinic/Center | 920 S. Hwy 45, Bonanza, AR 72916 | 2010-07-09 |
1255517066 | Joshua R Wilkinson | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2008-01-11 |
1689615445 | Twin Rivers Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 6119 Highway 45, 4, Fort Smith, AR 72916 | 2006-06-10 |
1891735098 | William Justin Hayes | Family Medicine | 11300 Roberts Blvd, Chaffee Crossing Clinic, Fort Smith, AR 72916 | 2006-06-07 |
1174184923 | James Brogan Lopez | Dentist | 5901 Riley Park Drive, Fort Smtih, AR 72916 | 2019-06-24 |
1588121065 | Premier Pediatrics Pllc | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2019-02-21 |
Find all providers in zip 72916 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831620434 | Koree Ramsey | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2017-03-24 |
1962876524 | Latifeh Shafii | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2015-11-19 |
1013149798 | Mary A Linn | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2009-08-14 |
1932277720 | Steven K Huisman | Physician Assistant | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2006-12-01 |
1114027059 | Aimee Arzoumanian | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
Find all providers with the same taxonomy |
City | FORT SMITH |
Zip Code | 72916 |
Please comment or provide details below to improve the information on THERESE JENKINS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.