IndividualActive
Jerry Jenkins, DPM
NPI 1831184688 · Podiatrist · Russellville, AL
Provider details
- NPI number
- 1831184688
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- M221 (AL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
533 Gandy St Ne
Russellville, AL 35653-1965
Phone: (256) 331-3338
Fax: (256) 331-2890
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1412
Russellville, AL 35653-3212
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2012-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.