Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2009-01164 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 2009-01164 | NC |
NPI | 1639231392 |
---|---|
Provider Name | Brian Colwell Jensen |
First Address | Chapel Hill, NC 27599-7075 |
Second Address | Chapel Hill, NC 27599-7075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 09/05/2017 |