Hetlevia R Jensen MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23895 Issued in OK

Legal business name

HETLEVIA R JENSEN MD PLLC

Practice address

1710 W 3Rd St
Suite 103a
Elk City, OK 73644-5159

Phone

(580) 225-2269

Fax

(580) 225-1504

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Hetlevia R Jensen, MD

Title

Physician Owner

Phone

(580) 225-2269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710107529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "address_2": "SUITE 103A",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445159",
            "telephone_number": "580-225-2269",
            "fax_number": "580-225-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "address_2": "SUITE 103A",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445159",
            "telephone_number": "580-225-2269",
            "fax_number": "580-225-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETLEVIA R JENSEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "HETLEVIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-225-2269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Henderson, MD
• Torrie Henderson
• Henry T Horrilleno MD PA
• Jennifer Marie Herzberg
• Angie L Hester
• Ashley Ann Higgins, MSN, ARNP
• High Plains Obstetrics & Gynecology Inc PC
• Nicole Hill
• Tanya N Hiss, BSW
• Kedrin Nicole Hodges, CRNA

• Family Medicine Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.