Individual
NATALIE LOIS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 812-5033
(801) 812-5034
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
347814-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
347814-4405
UT
Other
Enumeration date
04/02/2017
Last updated
07/21/2022
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