Individual
MICHAEL DAVID JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2615
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005152
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11005152
FL
Other
Enumeration date
12/20/2019
Last updated
08/02/2023
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