Philip Donovan Jenkins, FNP
Nurse Practitioner, Family in San Francisco, CA. Individual provider (NPI-1).
NPI number1013689736
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1013689736
- Entity type
- Individual (NPI-1)
- Name
- Philip Donovan Jenkins
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2021
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95018624 | CA | Yes |
Practice location
4150 Clement StSan Francisco, CA 94121-1563
Phone 310-889-4543
Mailing address
952 School St # 109Napa, CA 94559-2826
Phone 310-889-4543
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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