Individual
MEGAN LYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 222-3649
Mailing address
1614 WINTHROP LN, ROCKFORD, IL 61107-1959
(815) 222-3649
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.033000
IL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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