Individual
AMANDA RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35.139714
OH
2086S0120X
Pediatric Surgery Physician
Primary
35.139714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118840
—
OH
Enumeration date
06/19/2013
Last updated
08/25/2025
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