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Individual

MRS. AMY M. JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
(512) 478-8116
(512) 478-9368

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04764
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197523701
TX
01
8Y0185
BLUECROSS BLUE SHIELD
TX
Enumeration date
07/17/2006
Last updated
02/23/2009
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