NPI 1023083680
Shannon Jenkins, DO
Practice location
- Address
- 2860 Channing Way Suite 100, Idaho Falls, ID 83404-7531
- Phone
- (208) 535-4575
- Fax
- (208) 535-4569
- Mailing address
- 2860 Channing Way STE 100, Idaho Falls, ID 83404-7531
Registered specialties (3)
Neonatal-Perinatal Medicine Physician
Primary
Neonatal-Perinatal Medicine Physician
Neonatal-Perinatal Medicine Physician
Registry record
- NPI
- 1023083680
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Feb 2006
- Record last updated
- 30 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.