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Contact Information

REGINA M JENSEN MD PA
4536 TECHNOLOGY DR
SUITE 3
WILMINGTON, NC28405
 Phone: 910-343-8411
 Fax: 910-343-8414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for REGINA M JENSEN MD PA

NPI Number 1295895753
LBN Legal business name REGINA M JENSEN MD PA
Authorized official REGINA JENSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 11/19/2010 - About 16 years ago
Identifiers
NC License # 36541
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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