Individual ProviderShane JinkersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 664-4706(314) 206-3700PECOS EnrollmentBased on the most recent information from CMS, provider Shane Jinkerson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1346988755Provider TypeIndividualFull NameJinkerson, ShaneGenderMaleSole ProprietorNoEnumeration Date5/25/2022Last Updated5/25/2022Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 664-4706FaxUnlisted FaxMailing LocationMailing Address1430 Olive St Ste 400, Saint Louis, MO 63103-2303Phone(314) 206-3700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer