AMANDA RAE JENSEN

HAMMOND, IN
NPI1811575319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28186494A)
Enumeration Date2021-03-29
Last Update Date2021-07-12
Business Address
AMANDA RAE JENSEN FNP-BC
7904 CABELA DR
HAMMOND, IN 46324-2950
Phone number: 219-554-9911
Mailing Address
AMANDA RAE JENSEN FNP-BC
11419 GEORGIA ST
CROWN POINT, IN 46307-0035
Phone number: 219-487-9062
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