Individual
MRS. KIMBERLY JOANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
427 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 299-1107
(863) 291-3318
Mailing address
427 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 299-1107
(863) 291-3318
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1801412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13689003
CAQH
FL
Enumeration date
02/22/2013
Last updated
02/18/2019
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