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Individual
MRS. MARIA ANTONIETA JENSEN
Active
Individual
MRS. MARIA ANTONIETA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
509598 DUP
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
40401438
NY
Other
Enumeration date
02/06/2008
Last updated
11/10/2020
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