JESSE LANE JENKINS IDC
NPI 1558947069
Military Health Care Provider - Independent Duty Corpsman in Mountain City, TN

Q: What is Jesse Jenkins's NPI number?

The NPI number for Jesse Jenkins is 1558947069. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Jesse Jenkins's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Jenkins was last updated on March 23, 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.

Active since March 23, 2021

1734 COLD SPRINGS RD, MOUNTAIN CITY, TN 37683(423) 440-9174 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jesse Lane Jenkins Idc NPPES

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

JESSE LANE JENKINS IDC (NPI 1558947069) is an individual independent duty corpsman provider in Mountain City, Tennessee and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1558947069

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJESSE LANE JENKINSCredential: IDC

Location Address1734 COLD SPRINGS RDMountain City, TN 37683-4040

Mailing Address1734 Cold Springs RdMountain City, TN 37683-4040 · (423) 440-9174

Phone(423) 440-9174

Sole ProprietorYes

Enumeration DateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1558947069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

1734 COLD SPRINGS RD, Mountain City, TN 37683

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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 Jesse Jenkins's NPI number?

The NPI number for Jesse Jenkins is 1558947069. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jesse Jenkins located?

Jesse Jenkins practices at 1734 Cold Springs Rd, Mountain City, TN 37683. The listed phone number is (423) 440-9174.

What is Jesse Jenkins's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jesse Jenkins was last updated on March 23, 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.