Individual
JONATHAN JENSEN
Active
Individual
JONATHAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188207-30
WI
163W00000X
Registered Nurse
748709
CA
163W00000X
Registered Nurse
R206734-2
MN
367500000X
Certified Registered Nurse Anesthetist
188207-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
NP1046
GU
367500000X
Certified Registered Nurse Anesthetist
RE1979
GU
Other
Enumeration date
10/21/2014
Last updated
09/02/2016
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