Organization
REGINA M JENSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA MARIE JENSEN MD (PRESIDENT)
(910) 343-8411
Entity
Organization
Contact information
Practice address
4536 TECHNOLOGY DR, SUITE 3, WILMINGTON, NC 28405
(910) 343-8411
(910) 343-8414
Mailing address
4536 TECHNOLOGY DR, SUITE 3, WILMINGTON, NC 28405
(910) 343-8411
(910) 343-8414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36541
NC
Other
Enumeration date
12/12/2006
Last updated
11/19/2010
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