Provider Demographics
NPI:1255211983
Name:JENKINS SMITH, PATRICIA ANN (PEER SPECIALIST)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:JENKINS SMITH
Suffix:
Gender:F
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1582 GLEN ARMAND AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1619
Mailing Address - Country:US
Mailing Address - Phone:513-432-3032
Mailing Address - Fax:
Practice Address - Street 1:1582 GLEN ARMAND AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1619
Practice Address - Country:US
Practice Address - Phone:513-432-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.006356175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist