Shannon Summers Jenkins, is a
Registered Nurse - Emergency based in Mooreland, Indiana. Shannon Summers Jenkins is licensed to practice in Indiana (license number 28284697C) and her current practice location is
6271 N Buck Creek Pike, Mooreland, Indiana. She can be reached at her office (for appointments etc.) via phone at
(860) 455-5757.
NPI number for Shannon Summers Jenkins is 1992681027 and her current mailing address is 6271 N Buck Creek Pike, Mooreland, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992681027.
Provider's Profile
Full Name | Shannon Summers Jenkins |
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Gender | Female |
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Speciality | Registered Nurse - Emergency |
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Location | 6271 N Buck Creek Pike, Mooreland, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992681027
- Provider Enumeration Date: 08/13/2025
- Last Update Date: 08/13/2025
Medical Identifiers
Medical identifiers for Shannon Summers Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992681027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 28284697C (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Summers Jenkins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Summers Jenkins, 6271 N Buck Creek Pike, Mooreland, IN 47360-9535 Ph: (860) 455-5757 | Shannon Summers Jenkins, 6271 N Buck Creek Pike, Mooreland, IN 47360-9535 Ph: (860) 455-5757 |
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