Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raquel Jenkins

Individual provider Prevention Professional · NPI 1558247486

Raquel Jenkins is a Prevention Professional in Black Jack, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

13755 Old Halls Ferry Rd
Black Jack, MO 63033-4129
Phone: (314) 915-3358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 855544 (MO)

Record details

NPI number1558247486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address61 Brookhill Ct, Collinsville, IL 62234-6044