Individual
JONATHAN EDWARD JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
042-0014522
VT
207RG0100X
Gastroenterology Physician
33738
CO
207RG0100X
Gastroenterology Physician
Primary
69824
TN
Other
Enumeration date
01/19/2006
Last updated
04/26/2024
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