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NPI Code Detail

MEDICARE: EMILY JENSEN MD

MEDICARE:   EMILY  JENSEN  MD
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
1207R00000XInternal Medicine Physician130564AK

General Provider Information

NPI Number : 1497140065
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JENSEN MD
Provider Business Mailing Address
First Line : 3900 AMBASSADOR DR STE 3000
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5922
Country : US
Telephone Number : 907-729-1500
Fax Number : 907-729-2026
Provider Business Practice Location Address
First Line : 3900 AMBASSADOR DR STE 3000
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5922
Country : US
Telephone Number : 907-729-1500
Fax Number : 907-729-2026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 04/11/2025

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Directions to “ EMILY JENSEN MD” Practice Location

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