Individual
MRS. AMY B JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2668 MONTARA DR, MEDFORD, OR 97504-2170
(541) 773-2404
Mailing address
2668 MONTARA DR, MEDFORD, OR 97504-2170
(541) 773-2404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750131NP
OR
Other
Enumeration date
11/14/2006
Last updated
08/15/2012
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