Individual
DAVID JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP, FNP
Contact information
Practice address
3212 N WINDSONG DR, SUITE 200, PRESCOTT VALLEY, AZ 86314-2255
(928) 583-1000
(866) 751-4157
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
(866) 323-8458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP7855
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP7855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042864
—
AZ
Enumeration date
06/09/2015
Last updated
06/01/2022
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