Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD JENSEN
Active Sole ProprietorRICHARD JENSEN is a Physician Assistant healthcare provider located in PERU, New York. NPI 1417963588 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PERU, NY
Registration Details
- NPI Number
- 1417963588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.012238134349 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5546 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3384 STATE ROUTE 22PERU, NY, 129725305Browse NY providers · Browse ZIP 12972
- Phone
- 5186438008
- Fax
- 5186438090
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PERU, NY
| Name | Credential | NPI |
|---|---|---|
| MS. ANNA THERESA D'ANGELO | PHYSICIAN ASSISTANT | 1619020963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.