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Individual

JENNIFER LYNN JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6371 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-5002
(703) 683-2773
Mailing address
6557 BROOKS PL, FALLS CHURCH, VA 22044-1106
(763) 439-5227

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006938
VA

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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