Provider Demographics
NPI:1881972594
Name:RANSOM JENKINS, SHELIA
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:
Last Name:RANSOM 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 1:4501 HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-3519
Mailing Address - Country:US
Mailing Address - Phone:662-645-7940
Mailing Address - Fax:
Practice Address - Street 1:4501 HILL RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-3519
Practice Address - Country:US
Practice Address - Phone:662-645-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker