Individual
WILL C JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 WEST 12TH AVENUE, COLUMBUS, OH 43210
(614) 293-3989
(614) 293-9789
Mailing address
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 WEST 12TH AVENUE, COLUMBUS, OH 43210
(614) 293-3989
(614) 293-9789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01093364A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01093364A
IN
207RP1001X
Pulmonary Disease Physician
01093364A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104175832
ANTHEM PTAN
IN
05
—
300092138
—
IN
Enumeration date
03/22/2018
Last updated
03/11/2025
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