Individual provider · Type 1 NPI

Emmeron West Jensen

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1104779909 Active

Practice location

1622 John Glenn Rd
Dayton, OH 45410-3221

Call (801) 404-4241 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X48G75015379 (OH)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1104779909

Emmeron West Jensen's National Provider Identifier is 1104779909, issued on Feb 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Feb 19, 2026.