Individual
JESSICA RAYE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1200 W NORTHERN LIGHTS BLVD STE B, ANCHORAGE, AK 99503-3652
(907) 212-5165
(907) 212-0950
Mailing address
PO BOX 5517, PORTLAND, OR 97228-5517
(252) 075-1554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
155221
AK
Other
Enumeration date
08/13/2018
Last updated
12/19/2024
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