Individual
NOELLE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 1ST AVE SW, AUSTIN, MN 55912-2504
(507) 434-4900
Mailing address
611 1ST AVE SW, AUSTIN, MN 55912-2504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1697179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144260589
—
MN
Enumeration date
12/07/2021
Last updated
12/07/2021
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