Dr. Selisa Smitson Jenks Md
General Practice Physician
202 E Cheyenne Mountain Blvd
Colorado Springs
, Colorado 80906-3769
Dr. Selisa Smitson Jenks Md
General Practice Physician
202 E Cheyenne Mountain Blvd
Colorado Springs
, Colorado 80906-3769
(719) 338-2118
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Selisa Smitson Jenks Md
- 25 Maple Ave
- Colorado Springs, CO
- Zip : 80906-3137
- Phone : (719) 338-2118
Second Address
- Dr. Selisa Smitson Jenks Md
- 202 E Cheyenne Mountain Blvd
- Colorado Springs, CO
- Zip : 80906-3769
- Phone : (719) 579-6890
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 30528 | CO |
National Provider Identifier
| NPI | 1013128339 |
|---|---|
| Provider Name | Dr. Selisa Smitson Jenks Md |
| First Address | Colorado Springs, CO 80906-3137 |
| Second Address | Colorado Springs, CO 80906-3769 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.