Provider Demographics
NPI:1053030403
Name:JENKINS, SAVANNA JANE
Entity type:Individual
Prefix:
First Name:SAVANNA
Middle Name:JANE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAVANNA
Other - Middle Name:JANE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10513 MAGNOLIA AVE SPC B4
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-1825
Mailing Address - Country:US
Mailing Address - Phone:951-609-7559
Mailing Address - Fax:
Practice Address - Street 1:6800 INDIANA AVE STE 140
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4266
Practice Address - Country:US
Practice Address - Phone:951-291-8770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist