Dr Nathaniel Robert Jensen, MD | |
1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, MO 63110-1002 | |
(314) 454-6093 | |
(844) 965-9624 |
Full Name | Dr Nathaniel Robert Jensen |
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Gender | Male |
Speciality | Medical Genetics - Clinical Genetics (m.d.) |
Location | 1 Childrens Pl, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467029173 | NPI | - | NPPES |
200097895 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2023006365 (Missouri) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2023006365 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Dr Nathaniel Robert Jensen, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 454-6093 | Dr Nathaniel Robert Jensen, MD 1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, MO 63110-1002 Ph: (314) 454-6093 |