LEONARD JENSEN

EAGLE, ID
NPI1851604904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201050116NP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: ID  NP1166A)
Enumeration Date2010-07-19
Last Update Date2014-12-09
Business Address
Mr. LEONARD JENSEN FNP
1159 E IRON EAGLE DR
EAGLE, ID 83616-6871
Phone number: 208-209-3242
Mailing Address
Mr. LEONARD JENSEN FNP
1159 E IRON EAGLE DR
EAGLE, ID 83616-6871
Phone number: 208-209-3242