Individual
SAMANTHA DEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1378 NW 124TH ST # 200, CLIVE, IA 50325-8151
(515) 288-6097
Mailing address
1131 CORNERSTONE LN, PLEASANT HILL, IA 50327-8916
(515) 344-1762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A176763
IA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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