Individual
HOPE JENNIFER JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
222 BROADWAY ST STE 2, AUDUBON, IA 50025-1120
(855) 563-6190
(855) 563-6192
Mailing address
114 N TRACY ST, AUDUBON, IA 50025-1247
(712) 304-4249
(855) 563-6192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A104077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638536
—
IA
01
—
15208
BCBS WELLMARK IDENTIFYER
IA
01
—
I20766
MEDICARE B
IA
Enumeration date
07/17/2007
Last updated
01/24/2023
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