NPI 1558247486

Raquel Jenkins

Practitioner Prevention Professional Black Jack, MO

Practice location

Address: 13755 Old Halls Ferry Rd, Black Jack, MO 63033-4129
Phone: (314) 915-3358
Mailing address: 61 Brookhill CT, Collinsville, IL 62234-6044

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 855544 (MO)

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Registry record

NPI: 1558247486
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2025
Record last updated: 14 Aug 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.