MARY JENKINS PA NPI 1861586190

NPI Information

NPI: 1861586190
Provider Name: MARY JENKINS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901
Phone: (509) 248-3334
Get Directions

Mary Jenkins, PA is a medical physician assistant in Yakima, WA. Mary Jenkins, PA NPI is 1861586190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901-534
Phone: (509) 248-3334
Fax: (509) 453-6144

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10000693	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8100935	MEDICAID	WASHINGTON
2	JE6901	OTHER	WASHINGTON	REGENCE
3	GAB22220	MEDICARE ID-TYPE UNSPECIFIED
4	P32736	MEDICARE UPIN
5	8100935	OTHER	WASHINGTON	CHPW
6	23807	OTHER		GROUP HEALTH
7	68101	OTHER	WASHINGTON	L & I

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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