Provider Demographics
NPI:1083642011
Name:JENKINS, SHERI
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1801
Practice Address - Country:US
Practice Address - Phone:800-822-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20462207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009938221OtherBCBS
AL009938221Medicaid
AL009938233Medicaid
AL051535602OtherBCBS
AL051535614OtherBCBS
AL051539030Medicaid
AL009938216Medicaid
AL009938224Medicaid
AL051535604OtherBCBS
AL009938214Medicaid
AL009938226Medicaid
AL009938227Medicaid
AL009938229Medicaid
AL051535600OtherBCBS
AL051535611OtherBCBS
AL051596459OtherBCBS
AL103192Medicaid
AL009938219Medicaid
AL009938231Medicaid
AL009938232Medicaid
AL051535599OtherBCBS
AL051535603OtherBCBS
AL051535606OtherBCBS
AL051535607OtherBCBS
AL051535609OtherBCBS
AL009938218Medicaid
AL009938223OtherBCBS
AL009938228Medicaid
AL051535605OtherBCBS
AL051590722OtherBCBS
AL107818Medicaid
AL051535608OtherBCBS
AL051535610OtherBCBS
AL051535612OtherBCBS
AL051535613OtherBCBS
AL051539030Medicaid