Individual
CARISSA JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210-5162
(480) 827-5500
Mailing address
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210-5162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN190141
AZ
363L00000X
Nurse Practitioner
Primary
279616
AZ
Other
Enumeration date
08/18/2022
Last updated
08/24/2022
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