Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON JENKINS, DO
ActiveSHANNON JENKINS, DO is a Neonatal-Perinatal Medicine healthcare provider located in IDAHO FALLS, Idaho. NPI 1023083680 is currently active in the NPPES registry. Verify at CMS.
Neonatal-Perinatal Medicine · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1023083680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2006 (20.471095267039 yrs)
- Last Updated
- Dec 30, 2025
- Licenses
-
O0424 (ID)3863 (AZ)C4692 (KY)
Practice Information
- Address
-
2860 CHANNING WAYSUITE 100IDAHO FALLS, ID, 834047531Browse ID providers · Browse ZIP 83404
- Phone
- 2085354575
- Fax
- 2085354569
- Primary Specialty
-
Neonatal-Perinatal Medicine
2080N0001X
- Additional Specialty
- Neonatal-Perinatal Medicine
- Additional Specialty
- Neonatal-Perinatal Medicine
Other Neonatal-Perinatal Medicine Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| ROBERT WYCLIFFE CHEATHAM III | MD | 1518995026 |
| JORDAN SIMPSON | DO | 1114346749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.