National Provider Identifier
Timothy Alan Jensen, RPA-C
Timothy Alan Jensen, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 394-1007.
Profile Overview
- NPI
- 1508073677
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 17, 2007
- Last Updated
- February 14, 2013
Practice Location
- 5149 Sage Ter
- Canandaigua, NY 14424-8243
Phone: (585) 394-1007
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1508073677
- Entity Type
- Individual
- Last Name
- Jensen
- First Name
- Timothy
- Middle Name
- Alan
- Name Prefix
- Mr.
- Credential
- RPA-C
- Mailing Street Address
- 5149 Sage Ter
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8243
- Mailing Country
- US
- Mailing Phone
- (585) 394-1007
- Practice Street Address
- 5149 Sage Ter
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-8243
- Practice Country
- US
- Practice Phone
- (585) 394-1007
- Enumeration Date
- May 17, 2007
- Last Updated
- February 14, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)