Individual
MRS. JESSICA ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5301 WILLIAM D TATE AVE UNIT 100, GRAPEVINE, TX 76051-7357
(817) 251-2101
Mailing address
4021 WHITBY LN, GRAPEVINE, TX 76051-6447
(214) 862-8542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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