Individual
TINIESHA LYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/NP-C
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7963320-3102
UT
363LF0000X
Family Nurse Practitioner
7963320-4405
UT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
7963320
UT
Other
Enumeration date
01/30/2019
Last updated
03/05/2020
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