NPI | 1811528078 |
---|---|
Former Name | JENNIFER K JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7949273-4405) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 7949273-4405) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2025-06-04 |