Diane C Jensen (NPI# 1134156086, PAC ID# 9537145628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1134156086 |
| PAC ID by PECOS | 9537145628 |
| Professional Enrollment ID | I20040629000271 |
| Full Name | Diane C Jensen |
| Address |
4630 Gateside Seln Marietta GA 30067-4087 |
| Phone Number | 7709121623 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4630 Gateside Seln, Marietta, GA 30067-4087 | 7709121623 |
| Street Address |
4630 GATESIDE SELN |
| City | MARIETTA |
| State | GA |
| Zip | 30067-4087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svathi M Reddy | Psychiatry | 1640 Powers Ferry Rd, Bldg 17 Suite 100, Marietta, GA 30067-1419 | |
| Piyush C Patel | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jason M Jian | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Olajide Fawehinmi | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jasmine Young | Nurse Practitioner | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Joan R Funk | Clinical Social Worker | 1640 Powers Ferry, Suite 100, Marietta, GA 30067-1437 | |
| Yolanda P Bowdre | Occupational Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Fatima German | Physical Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Ama Browne | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Bessie Martin-jackson | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Find all physicians in zip 30067 | |||
| City | MARIETTA |
| Zip Code | 30067 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MARIETTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Diane C Jensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.