Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAQUEL JENKINS
Active Sole ProprietorRAQUEL JENKINS is a 405300000X healthcare provider located in BLACK JACK, Missouri. NPI 1558247486 is currently active in the NPPES registry. Verify at CMS.
405300000X · BLACK JACK, MO
Registration Details
- NPI Number
- 1558247486
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2025 (1.0326578069273 yrs)
- Last Updated
- Aug 14, 2025
- License
-
855544 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13755 OLD HALLS FERRY RDBLACK JACK, MO, 630334129Browse MO providers · Browse ZIP 63033
- Phone
- 3149153358
- Primary Specialty
-
405300000X
405300000X
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.