Regina M Jensen MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36541 Issued in NC

Legal business name

REGINA M JENSEN MD PA

Practice address

4536 Technology Dr
Suite 3
Wilmington, NC 28405

Phone

(910) 343-8411

Fax

(910) 343-8414

NPI assigned

Dec 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Regina Marie Jensen, MD

Title

President

Phone

(910) 343-8411

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1295895753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 TECHNOLOGY DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-343-8411",
            "fax_number": "910-343-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 TECHNOLOGY DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-343-8411",
            "fax_number": "910-343-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA M JENSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-343-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "36541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John Reese, MD
• Sean Alan Reese, D.C.
• Savannah Reeves
• Reflect Therapy and Wellness, PLLC
• Reflections of Hope, L.L.P.
• Diana Q Regina, PHARM.D
• Anna Marie Register, LCSWA
• Lindsey Register, MD
• Olivia Jane Register, RBT
• Stephen Raymond Regnier, DMD

• Internal Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.