Individual
CHELSEA JAYNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
190 KIMEL PARK DR STE 155, WINSTON SALEM, NC 27103-6946
(336) 765-6637
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-6637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16117
NC
363A00000X
Physician Assistant
025415-01
NY
Other
Enumeration date
08/19/2020
Last updated
06/25/2026
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