JEFFREY LEE JENSEN MD/PHD NPI 1265965131

NPI Information

NPI: 1265965131
Provider Name: JEFFREY LEE JENSEN, MD/PHD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
PECOS Registration: Yes
Address: 102 MASON FARM RD
CHAPEL HILL, NC
ZIP 27514
Phone: (849) 744-4629

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NPI Details

Jeffrey Lee Jensen, MD/PHD is a student in an organized health care education training program in Chapel Hill, NC with 9 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jeffrey Lee Jensen, MD/PHD NPI is 1265965131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

102 MASON FARM RD
CHAPEL HILL, NC
ZIP 27514-617
Phone: (849) 744-4629
Fax: (919) 843-9355

The NPI 1265965131 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 4/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	66261	OTHER	MINNESOTA	LICENSE TO PRACTICE MEDICINE AND SURGERY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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