Active NPI
Jennifer Diane Jenkins, APN
- Family Medicine Physician
- Heber Springs, AR
National Provider Identifier
1194768507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A01236
- Practice address
- 910 Adcock Dr
Heber Springs, AR 72543-9674 - Phone
- (501) 362-0500
- Fax
- (501) 362-0501
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A01236 | AR | Primary |
Addresses
Primary practice location
910 Adcock Dr
Heber Springs, AR 72543-9674
Mailing address
910 Adcock Dr
Heber Springs, AR 72543-9674
Phone (501) 362-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5U297 | Other | AR | BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01236 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194768507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 ADCOCK DR",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725439674",
"telephone_number": "501-362-0500",
"fax_number": "501-362-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 ADCOCK DR",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725439674",
"telephone_number": "501-362-0500",
"fax_number": "501-362-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "A01236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "5U297",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.