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

Samuel Willis Jenkins III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063351690

Samuel Willis Jenkins III is a Student in an Organized Health Care Education/Training Program in Jonesboro, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

Wilson Hall 2405 Aggie Rd
Jonesboro, AR 72401
Phone: (870) 972-2786
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063351690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 22, 2026

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