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

Stephanie Jenkins

Individual provider Family Nurse Practitioner · NPI 1194322636

Stephanie Jenkins is a Nurse Practitioner in Columbia, Maryland. Qualified in 2019, 7 years ago. Practices with Centennial Medical Group, PA, a 34-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

5755 Cedar Ln
Columbia, MD 21044-2912
Phone: (410) 740-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R207475 (MD)

Record details

NPI number1194322636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2020
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Centennial Medical Group, Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia