Provider Demographics
NPI:1891026894
Name:JENKINS, ANN STUART (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:STUART
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 NORTHBRIDGE DR STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3700
Mailing Address - Country:US
Mailing Address - Phone:843-270-9913
Mailing Address - Fax:
Practice Address - Street 1:1164 NORTHBRIDGE DR STE C
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3700
Practice Address - Country:US
Practice Address - Phone:843-270-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor