Individual
AMY N JENSEN
Active
Individual
AMY N JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2003009690
MO
163W00000X
Registered Nurse
2011007236
MO
363LF0000X
Family Nurse Practitioner
Primary
2011007236
MO
Other
Enumeration date
03/28/2011
Last updated
03/05/2021
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