Individual
GERALD I JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3907 6TH AVE, KEARNEY, NE 68845-3392
(308) 865-2767
(308) 865-2765
Mailing address
3907 6TH AVE, KEARNEY, NE 68845-3392
(308) 865-2767
(308) 865-2765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15801
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03652
BCBS
NE
01
—
11811
MIDLAND'S CHOICE
NE
Enumeration date
07/04/2006
Last updated
07/08/2007
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