Provider Demographics
NPI:1043962996
Name:JENKINS, SHAREA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SHAREA
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 FARINGDON DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2573
Mailing Address - Country:US
Mailing Address - Phone:850-688-2442
Mailing Address - Fax:
Practice Address - Street 1:2803 FARINGDON DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2573
Practice Address - Country:US
Practice Address - Phone:850-688-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula