THERESE JENKINS


Address: 8101 Mcclure Dr Ste 101, Fort Smith, AR 72916-6044
Phone: 4794847100

THERESE JENKINS (NPI# 1386074102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8101 MCCLURE DR STE 101
City FORT SMITH
State AR
Zip Code 72916-6044

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT SMITH
Zip Code 72916

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Dataset Information

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.

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