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NPI Code Detail

MEDICARE: KRISTA JENSEN DO

MEDICARE: KRISTA JENSEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician34.013927OH
2207V00000XObstetrics & Gynecology PhysicianDO203485OR

General Provider Information

NPI Number : 1093112583
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA JENSEN DO
Provider Business Mailing Address
First Line : 3600 STELZER RD STE 220
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3676
Country : US
Telephone Number : 614-475-0811
Fax Number :
Provider Business Practice Location Address
First Line : 3600 STELZER RD STE 220
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3676
Country : US
Telephone Number : 614-475-0811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2014
Last Update Date : 10/05/2022

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Directions to “ KRISTA JENSEN DO” Practice Location

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