Individual
MS. JENSEN LUND NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
521 2ND PLACE NORTH, M/S KSC 11-103, KENT, WA 98032
(425) 690-3491
(425) 690-9091
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024575
—
WA
Enumeration date
11/13/2007
Last updated
09/24/2018
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