Dr MARK W JENISON is a male medical professional, specializing in Dermatology. He graduated in 1992 from University Of North Carolina At Chapel Hill School Of Medicine.
SENTARA MEDICAL GROUP
836 GLENROCK RD
SUITE 100
NORFOLK
VA
235023702
Tel: 7572522900
| Npi | 1134194277 |
| Pac Id | 1254472905 |
| Professional Enrollment Id | I20100104000431 |
| Last Name | JENISON |
| First Name | MARK |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Group Practice Pac Id | 8921903923 |
| Number Of Group Practice Members | 856 |
| Line 1 Street Address | 836 GLENROCK RD |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | NORFOLK |
| State | VA |
| Zip Code | 235023702 |
| Phone Number | 7572522900 |
| Hospital Affiliation Ccn 1 | 490046 |
| Hospital Affiliation Lbn 1 | SENTARA LEIGH HOSPITAL |
| Hospital Affiliation Ccn 2 | 490007 |
| Hospital Affiliation Lbn 2 | SENTARA NORFOLK GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 490057 |
| Hospital Affiliation Lbn 3 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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