Provider Demographics
NPI:1124086129
Name:JENKINS, ELIZABETH BRIGGS (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BRIGGS
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:G
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5908
Mailing Address - Fax:757-446-7055
Practice Address - Street 1:855 W BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1005
Practice Address - Country:US
Practice Address - Phone:757-446-5908
Practice Address - Fax:757-446-7055
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101260593207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1124086129OtherUSA MANAGED CARE
VA1124086129Medicaid
VA1124086129OtherMULTIPLAN
VA1124086129OtherOPTIMA HEALTH
VA1124086129OtherAETNA
VA1124086129OtherTRICARE/CHAMPUS
VA1124086129OtherANTHEM BC/BS
VA1124086129OtherCIGNA
VA1124086129OtherUNITED HEALTHCARE
VA1124086129OtherCORVEL
VA1124086129OtherVIRGINIA PREMIER HEALTH PLAN
VA1124086129OtherVIRGINIA HEALTH NETWORK
NC1124086129Medicaid
VA1124086129OtherHUMANA
VA1124086129OtherCOVENTRY HEALTH CARE
VA1124086129OtherHUMANA
VAP01709641Medicare PIN