Individual
LEIGHANNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(505) 599-8603
Mailing address
1300 KATHERINE AVE, FARMINGTON, NM 87401-3548
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-81934
NM
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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