Individual
NANCY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
US HWY OLD SCHOOL RD, SHIPROCK, NM 87420
(505) 368-5163
(505) 368-5502
Mailing address
PO BOX 1199, US HWY 64 OLD SCHOOL RD, SHIPROCK, NM 87420
(505) 368-5163
(505) 368-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001095323
VA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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