JASON JENKINS

MATTOON, IL
NPI1639570476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209011280)
Enumeration Date2014-09-11
Last Update Date2015-08-24
Business Address
JASON JENKINS NP
2512 HURST DR
MATTOON, IL 61938
Phone number: 217-258-5900
Mailing Address
JASON JENKINS NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792