Individual
SHANNON LEIGH JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4938
(952) 929-0140
(952) 926-1055
Mailing address
4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4938
(952) 929-0140
(952) 926-1055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0838
NH
363A00000X
Physician Assistant
Primary
12417
MN
363A00000X
Physician Assistant
C0005843
MD
Other
Enumeration date
03/24/2011
Last updated
10/28/2025
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