Individual
SHANNON LYN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
4801 E 22ND ST, SIOUX FALLS, SD 57110-3786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R040767
SD
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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