Individual
AMY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4128 WASHINGTON RD APT 107, KENOSHA, WI 53144-4215
(262) 210-9456
Mailing address
4128 WASHINGTON RD APT 107, KENOSHA, WI 53144-4215
(262) 210-9456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223348-30
WI
163WC0400X
Case Management Registered Nurse
Primary
223348-30
WI
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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