Individual
CHARLOTTE D JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
(307) 332-5753
Mailing address
PO BOX 294, LANDER, WY 82520-0294
(307) 349-0754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17048
WY
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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