Individual
KELLEY L JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1542 GOLF COURSE RD STE 204, GRAND RAPIDS, MN 55744-3537
(218) 999-7000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP6987
MN
Other
Enumeration date
08/09/2019
Last updated
10/09/2019
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