Jennifer Jensen, RN, PHN
Registered Nurse in Auburn, CA. Individual provider (NPI-1).
NPI number1821628355
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1821628355
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Jensen
- Credential
- RN, PHN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95095402 | CA | Yes |
Practice location
11485 C AveAuburn, CA 95603-2701
Phone 530-889-7173
Mailing address
11485 C AveAuburn, CA 95603-2701
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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.
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