Shannon Jean Jenkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

653550 Issued in CA

Practice address

1601 Yosemite Blvd
Suite a
Modesto, CA 95354-2800

Phone

(209) 341-1824

Fax

(209) 523-1296

NPI assigned

Jan 2, 2007

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851458509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 EL GOYA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543219",
            "telephone_number": "209-578-5632",
            "fax_number": "209-523-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YOSEMITE BLVD",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542800",
            "telephone_number": "209-341-1824",
            "fax_number": "209-523-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHANNON",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "653550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Jefferson
• Ralph W Jeffery, D.C.
• Jeffrey R Levin MD Inc
• Jeffrey Scott, MD Inc
• Emily Jenkins, M.S.
• Sitora Beverly Jennings
• Holly E. Jensen, RNC
• Jared Jensen
• Ronald D. Jensen, DPM
• Sharley Jensen

• Registered Nurse in Modesto, CA
• Providers in Modesto, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.