JACOB JENKINS
NPI 1497379291
Physician Assistant - Medical in Holland, MI

Active since June 08, 2020
168 SORRENTO DR, HOLLAND, MI 49423(269) 838-8215 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Jun 8, 2020 (2 updates tracked since 2020).

About Jacob Jenkins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JENKINS (NPI 1497379291) is an individual medical provider in Holland, Michigan, licensed in Michigan (5601010606) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1497379291
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB JENKINS
Location Address168 SORRENTO DRHolland, MI 49423-6618
Mailing Address168 Sorrento DrHolland, MI 49423-6618 · (269) 838-8215
Sole ProprietorYes
Enumeration DateJune 8, 2020
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1497379291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601010606
168 SORRENTO DR, Holland, MI 49423

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Jenkins's NPI number?

The NPI number for Jacob Jenkins is 1497379291. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Jacob Jenkins located?

Jacob Jenkins practices at 168 Sorrento Dr, Holland, MI 49423. The listed phone number is (269) 838-8215.

What is Jacob Jenkins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jacob Jenkins was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.