Individual
DR. JERRI JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69 GROVE ST, NEW CANAAN, CT 06840-5325
(844) 359-8363
(833) 929-3520
Mailing address
69 GROVE ST, NEW CANAAN, CT 06840-5325
(844) 359-8363
(833) 929-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13248
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046539
BCBS
ME
05
—
123990099
—
ME
01
—
3342110
AETNA
ME
01
—
4254797
AETNA
ME
01
—
AA84099
HARVARD PILGRIM HEALTH CARE
ME
01
—
P00050169
RAILROAD MEDICARE
ME
Enumeration date
08/17/2006
Last updated
08/29/2024
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