Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE DAVID JENSEN, D.O.
ActiveJESSE DAVID JENSEN, D.O. is a Dermatology healthcare provider located in TOOELE, Utah. NPI 1619294337 is currently active in the NPPES registry. Verify at CMS.
Dermatology · TOOELE, UT
Registration Details
- NPI Number
- 1619294337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2010 (16.328851982648 yrs)
- Last Updated
- Mar 7, 2016
- Licenses
-
8963761-1204 (UT)8963761-1204 (UT)
Practice Information
- Address
-
2376 N 400 ESTE 203TOOELE, UT, 840743413Browse UT providers · Browse ZIP 84074
- Phone
- 8019661403
- Fax
- 8019646478
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
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.