Provider Demographics
NPI:1740954593
Name:JENKINS, DANIELLE RENE (AUD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RENE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S CLARKSON ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3946
Mailing Address - Country:US
Mailing Address - Phone:303-534-0163
Mailing Address - Fax:303-534-0179
Practice Address - Street 1:3601 S CLARKSON ST STE 220
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3946
Practice Address - Country:US
Practice Address - Phone:303-534-0163
Practice Address - Fax:303-534-0179
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI265231H00000X
OR31077231H00000X
TX81411231H00000X
CO1276231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist