Healthcare Provider Details

I. General information

NPI: 1639189665
Provider Name (Legal Business Name): ANNA JENSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 NORTH AVE
GRAND JUNCTION CO
81501-6428
US

IV. Provider business mailing address

2121 NORTH AVE
GRAND JUNCTION CO
81501-6428
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-0731
  • Fax:
Mailing address:
  • Phone: 970-242-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number38582
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number38582
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number38582
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: