Matthew Jensen, MD
Psychiatry & Neurology, Epilepsy in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1295232155
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1295232155
- Entity type
- Individual (NPI-1)
- Name
- Matthew Jensen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084E0001X | Psychiatry & Neurology, Epilepsy | 11405420-1205 | UT | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 11405420-1205 | UT |
Practice location
175 N Medical Drive EastSalt Lake City, UT 84132-0001
Phone 801-585-6387
Mailing address
175 N Medical Drive EastSalt Lake City, UT 84132-0001
Phone 801-585-6387
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Epilepsy Physician providers in Salt Lake City, UT
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.