Basic Information
| Provider Information | |||||||||
| NPI: | 1881915403 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHANKLIN | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | GRIFFITH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 HAWKINS DR | ||||||||
| Address2: | |||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193561616 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 920 E 28TH ST STE 460 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554071286 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128637770 | ||||||||
| FaxNumber: | 6128637772 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2010 | ||||||||
| LastUpdateDate: | 11/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD-42793 | IA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 66273 | MN | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 125.057738 | IL | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | MD-42793 | IA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | 66273 | MN | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 2086S0127X | MD-42793 | IA | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 2086S0102X | 66273 | MN | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
No ID Information.