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Individual

MRS. LAURA JOYCE JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 318-8584
(804) 748-5054
Mailing address
6800 LUCY CORR CT, PO BOX 40, CHESTERFIELD, VA 23832-6657
(804) 318-8584
(804) 748-5054

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167501
VA

Other

Enumeration date
08/27/2007
Last updated
01/23/2009
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