Healthcare Provider Details

I. General information

NPI: 1336514595
Provider Name (Legal Business Name): RACHEL JENSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N HAMILTON ST
RICHMOND VA
23221-2601
US

IV. Provider business mailing address

409 12TH ST SW
WASHINGTON DC
20024-2125
US

V. Phone/Fax

Practice location:
  • Phone: 804-355-4358
  • Fax:
Mailing address:
  • Phone: 800-673-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VC0300X
TaxonomyComplex Family Planning Physician
License Number2023-01352
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101279574
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2023-01352
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number347206
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: