Individual
KATHRYN H JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 225-8004
(425) 225-8021
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60266051
WA
363L00000X
Nurse Practitioner
Primary
AP60535065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044600
—
WA
Enumeration date
04/14/2015
Last updated
10/01/2025
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