Provider Demographics
NPI:1730123266
Name:JENKINS, SHARRAH ERICKA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARRAH
Middle Name:ERICKA
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 WESTWOOD AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4315
Mailing Address - Country:US
Mailing Address - Phone:336-882-2433
Mailing Address - Fax:
Practice Address - Street 1:7021 HARPS MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3240
Practice Address - Country:US
Practice Address - Phone:919-845-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200201371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891324MMedicaid
H75921Medicare UPIN
NC891324MMedicaid