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Lisa Ann Jensen, APRN

Registered Nurse, Psych/Mental Health, Adult in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1790727733
StatusActive
Last updated in NPPESSep 26, 2007

Details

NPI
1790727733
Entity type
Individual (NPI-1)
Name
Lisa Ann Jensen
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Sep 26, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult352098-8900UTYes

Practice location

Slc Va Health Care System
500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone 801-582-1565

Mailing address

52 Scenic Hills Cir
North Salt Lake, UT 84054-1539

Phone 801-582-1565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Adult Psychiatric/Mental Health Registered Nurse providers in Salt Lake City, UT

All 19 Adult Psychiatric/Mental Health Registered Nurse providers in Salt Lake City · All 24,510 providers in Salt Lake City

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