IndividualActive
Shannon Jenkins, DO
NPI 1023083680 · Neonatal-Perinatal Medicine Physician · Idaho Falls, ID
Provider details
- NPI number
- 1023083680
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O0424 (ID)
Practice location
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
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.