Individual
ERIC ANDREW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
PO BOX 207529, DALLAS, TX 75320-7529
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125969
OK
Other
Enumeration date
05/03/2019
Last updated
10/28/2019
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