Individual
MRS. EMILY GRACE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 W ADAMS ST, BOWLING GREEN, MO 63334-1974
(573) 324-5300
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
05/25/2021
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