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Individual
LYNN JENSEN
Active
Individual
LYNN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, GNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61743-030
WI
163W00000X
Registered Nurse
RN00094632
WA
163WG0600X
Gerontology Registered Nurse
2548-033
WI
163WG0600X
Gerontology Registered Nurse
AP30002498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624636
—
WA
Enumeration date
02/10/2007
Last updated
09/29/2011
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