| NPI | 1528680782 |
|---|---|
| Former Name | JENSEN NICOLE FAUCHEUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 227428) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX API45818) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-04-23 |