EMMERON WEST JENSEN
NPI 1104779909
Student in an Organized Health Care Education/Training Program in Dayton, OH

Q: What is Emmeron Jensen's NPI number?

The NPI number for Emmeron Jensen is 1104779909. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Q: What is Emmeron Jensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Emmeron Jensen was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2026

1622 JOHN GLENN RD, DAYTON, OH 45410(801) 404-4241 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Emmeron West Jensen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMERON WEST JENSEN (NPI 1104779909) is an individual student in an organized health care education/training program in Dayton, Ohio, licensed in Ohio (48G75015379) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1104779909

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEMMERON WEST JENSEN

Location Address1622 JOHN GLENN RDDayton, OH 45410-3221

Mailing Address1622 John Glenn RdDayton, OH 45410-3221 · (801) 404-4241

Phone(801) 404-4241

Sole ProprietorYes

Enumeration DateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1104779909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 48G75015379

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1622 JOHN GLENN RD, Dayton, OH 45410

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmeron Jensen's NPI number?

The NPI number for Emmeron Jensen is 1104779909. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Emmeron Jensen located?

Emmeron Jensen practices at 1622 John Glenn Rd, Dayton, OH 45410. The listed phone number is (801) 404-4241.

What is Emmeron Jensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Emmeron Jensen was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.