Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emmeron West Jensen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104779909

Emmeron West Jensen is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1622 John Glenn Rd
Dayton, OH 45410-3221
Phone: (801) 404-4241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 48G75015379 (OH)

Record details

NPI number1104779909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address1622 John Glenn Rd, Dayton, OH 45410-3221

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