Provider Demographics
NPI:1871500686
Name:JENKINS, SHERYL DAUN (PHD,APN,ACNP)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:DAUN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:PHD,APN,ACNP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1300 FRANKLIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-3592
Mailing Address - Country:US
Mailing Address - Phone:309-268-3761
Mailing Address - Fax:309-268-5620
Practice Address - Street 1:1300 FRANKLIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-3592
Practice Address - Country:US
Practice Address - Phone:309-268-3761
Practice Address - Fax:309-268-5620
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care