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Organization
JOHN M JENSEN
Active
Organization
JOHN M JENSEN
Active
Other names
Wrightsville Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARTIN JENSEN JR. DO (SOLO PRACTICE PHYSICIAN)
(717) 252-1575
Entity
Organization
Contact information
Practice address
900 HELLAM ST, WRIGHTSVILLE, PA 17368-1019
(717) 252-1575
(717) 252-2321
Mailing address
900 HELLAM ST, WRIGHTSVILLE, PA 17368-1019
(717) 252-1575
(717) 252-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S004334L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006437080004
—
PA
01
—
02300000
CAPITAL BLUE CROSS
—
Enumeration date
06/13/2006
Last updated
08/22/2020
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