JENNIFER ANNE JENKINS ARNP PHMNP-BC NPI 1922573658

NPI Information

NPI: 1922573658
Provider Name: JENNIFER ANNE JENKINS, ARNP, PHMNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
8915 SW CENTER ST
TIGARD, OR
ZIP 97223
Phone: (503) 726-3732
Get Directions

Jennifer Anne Jenkins, ARNP, PHMNP-BC is a psychiatric/mental health nurse practitioner in Tigard, OR with 12 years of experience. Jennifer Anne Jenkins, ARNP, PHMNP-BC NPI is 1922573658. 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:

8915 SW CENTER ST
TIGARD, OR
ZIP 97223-307
Phone: (503) 726-3732

The NPI 1922573658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 8/1/2023.

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
1	163W00000X	Registered Nurse		202106913RN	OREGON	No
2	163W00000X	Registered Nurse		RN60666821	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60993254	WASHINGTON	No
4	390200000X	Student in an Organized Health Care Education/Training Program		AP60993254	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202108216NP-PP	OREGON	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	1922573658	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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