Individual
AMY LOU JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1880 FILLMORE ST, TWIN FALLS, ID 83301-3015
(208) 735-8386
(208) 735-0434
Mailing address
1880 FILLMORE ST, TWIN FALLS, ID 83301-3015
(208) 735-8386
(208) 735-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
79193
ID
363LP2300X
Primary Care Nurse Practitioner
6069006-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
TEMP79193
ID
Other
Enumeration date
08/21/2023
Last updated
03/14/2025
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