Individual
MS. ANITA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 724-1391
Mailing address
17 CREW COURT, BARRIE, ONTARIO L4N5S-4
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
951597
NY
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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