Individual
CASEY MAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
140 STONECREST RD STE 101, SHELBYVILLE, KY 40065-8143
(502) 928-1060
(502) 928-1061
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011491
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100494020
—
KY
Enumeration date
07/13/2017
Last updated
12/07/2020
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