Andrea Jenkins

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

449713 Issued in OH

Practice address

63 W Funderburg Rd
Fairborn, OH 45324

Phone

(937) 878-8668

Fax

(937) 879-8186

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1205733094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 REGATTA PARK DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453242653",
            "telephone_number": "937-878-8668",
            "fax_number": "937-879-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W FUNDERBURG RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "45324",
            "telephone_number": "937-878-8668",
            "fax_number": "937-879-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "449713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakisha Jackson
• Cecilia Jacobs, PSY.D.
• Kacey James
• Janet R N Kail DPM
• Samantha Jeckering
• Renee J Jennings, LISW
• Amy Jernigan
• Bridget Camille Johnson
• Chantel Johnson
• Heather Johnson

• Public Health & General Preventive Medicine Physician in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Public Health & General Preventive Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.