Individual
JENNI KAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
800 W MAIN ST STE 1460, BOISE, ID 83702-5983
(208) 505-1179
Mailing address
PO BOX 6795, BOISE, ID 83707-0795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65339
ID
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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