Provider Demographics
NPI:1982587101
Name:JENKINS, JASON KENNARD
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:KENNARD
Last Name:JENKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 DOUGLASDALE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3619
Mailing Address - Country:US
Mailing Address - Phone:804-514-1546
Mailing Address - Fax:
Practice Address - Street 1:3221 DOUGLASDALE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-3619
Practice Address - Country:US
Practice Address - Phone:804-514-1546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)