Individual
CHRISTINA SUE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, APNP
Contact information
Practice address
9200 W WISCONSIN AVE FL 4, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVENUE, 4TH FLOOR, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3607-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265677280
—
WI
Enumeration date
12/04/2008
Last updated
06/22/2017
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