Individual
MR. CHARLES JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11321 INTERSTATE 30 STE 304, LITTLE ROCK, AR 72209
(501) 202-7587
(501) 202-7513
Mailing address
11321 INTERSTATE 30 STE 304, LITTLE ROCK, AR 72209-7067
(501) 202-7587
(501) 202-7513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
167272
OR
2084P0800X
Psychiatry Physician
Primary
E11478
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2010
Last updated
07/23/2018
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