TRISTAN JENKINS


Address: 800 Fair Park Blvd, Little Rock, AR 72204-1720
Phone: 5015003500

TRISTAN JENKINS (NPI# 1679173645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679173645
Entity Type Individual
Full Name TRISTAN JENKINS
Credential PA
Practice Address 800 Fair Park Blvd
Little Rock
AR 72204-1720
Practice Telephone 5015003500
Practice Fax Number 5017773519
Mailing Telephone 5015003500
Mailing Fax Number 5017773519
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRISTAN JENKINS

NPI Name Taxonomy Address Enumeration
1609360080 Tristan Jenkins Behavior Technician 2520 University Park Bldg D, Mount Pleasant, MI 48858-4464 2018-06-19
1811430838 Tristan Jenkins Pharmacist 774 Admiral Callaghan Ln, Vallejo, CA 94591-3650 2016-11-22

Office Location

Street Address 800 FAIR PARK BLVD
City LITTLE ROCK
State AR
Zip Code 72204-1720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083606933 Jay M Lipke Orthopaedic Surgery 800 Fair Park Blvd, Little Rock, AR 72204 2005-08-17
1386242899 Payton Rae Ransom Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-10-16
1942825476 Bryce Bossin Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-06-10
1922658566 Victoria Caples Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-09-16
1457818353 Kala Carol Hart Nurse Practitioner 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-27
1023575420 Faith Marquardt Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-22
1346706892 Christopher Allen Brynell Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-20
1043776099 Lauren Abigail Rainwater Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-14
1073080255 John Joseph Head Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2018-10-25
1619471885 Maggie J Brown Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204 2018-03-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669952966 Shane Wilson Non-emergency Medical Transport (VAN) 1522 S Tyler St, Little Rock, AR 72204 2018-08-16
1659858348 Poplar Grove Operations LLC Skilled Nursing Facility 7801 Kanis Road, Little Rock, AR 72204 2018-07-25
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1265954820 Marilyn Marie Lynch Registered Nurse 7723 Colonel Glenn Road, Little Rock, AR 72204 2017-07-14
1962852954 Arkansas Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1122 S. University Ave, Little Rock, AR 72204 2016-06-21
1841607751 Charity Gillespie Registered Nurse 5210 Timberland Dr, Little Rock, AR 72204 2014-07-14
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
1548696065 Jamie Washington Prosthetic/Orthotic Supplier 4701 Westwood Ave, Little Rock, AR 72204 2013-09-16
1124468913 Stephanie Rachelle Jez Genetic Counselor, MS 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 2013-06-26
1336492321 Alton Charles Phillips Sr. Counselor 4400shuffield Drive, Little Rock, AR 72204 2012-10-16
Find all providers in zip 72204

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700281938 Carol J Trana Physician Assistant 4301 West Markham St, #748, Little Rock, AR 72205-7199 2014-10-30
1326038035 Douglas A. Clark Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2005-10-25
1205826187 Dallas M Bondhus Physician Assistant 9600 Baptist Health Dr Ste 320, Little Rock, AR 72205-6322 2005-10-24
1962019182 Houston Cotton Physician Assistant 4301 W Markham St # 783, Little Rock, AR 72205-7101 2020-09-30
1033750898 Susan Brooke Contois Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2019-10-03
1023575420 Faith Marquardt Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-22
1083170807 Caleb Brett Mason Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2019-02-17
1043776099 Lauren Abigail Rainwater Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-14
1457815755 Audra Anne Nosal Physician Assistant 4301 W Markham St # 783, Little Rock, AR 72205-7101 2019-01-31
1619471885 Maggie J Brown Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204 2018-03-21
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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