Individual
LAUREN KEANNA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 339-5453
(425) 252-4441
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60951576
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61307230
WA
Other
Enumeration date
12/05/2019
Last updated
11/11/2022
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