STACY JENKINS MD PLC NPI 1801079017

NPI Information

  • NPI: 1801079017
  • Provider Name: STACY JENKINS, MD, PLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 23D0725269
  • Address: 44555 WOODWARD AVE.
    SUITE 202
    PONTIAC, MI
    ZIP 48341
  • Phone: (248) 499-9390

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NPI Details

STACY JENKINS, MD, PLC is an obstetrics gynecology in Pontiac, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. STACY JENKINS, MD, PLC NPI is 1801079017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44555 WOODWARD AVE.
SUITE 202
PONTIAC, MI
ZIP 48341
Phone: (248) 499-9390
Fax: (248) 499-9385

The provider's authorized official is Stacy Ann Jenkins .
The authorized official title is Owner and has the following contact phone number (248) 618-9400.

The CLIA number assigned to this NPI record is 23D0725269 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2007 and was last updated on 3/7/2023.

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
1207V00000XObstetrics & GynecologyMICHIGANNo
2207V00000XObstetrics & GynecologyYes

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
14493396MEDICAIDMICHIGAN

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: 11/21/2025

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