Individual
ALEXIS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
264832
AZ
363LG0600X
Gerontology Nurse Practitioner
264832
AZ
Other
Enumeration date
12/07/2021
Last updated
02/08/2024
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