Provider Demographics
NPI:1497140065
Name:JENSEN, EMILY (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 AMBASSADOR DR STE 3000
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5922
Mailing Address - Country:US
Mailing Address - Phone:907-729-1500
Mailing Address - Fax:907-729-2026
Practice Address - Street 1:3900 AMBASSADOR DR STE 3000
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5922
Practice Address - Country:US
Practice Address - Phone:907-729-1500
Practice Address - Fax:907-729-2026
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK130564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine