Individual
PATRICIA O JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE, MR 10809, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R83147-3
MN
363L00000X
Nurse Practitioner
Primary
R-83147
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364313100
—
MN
Enumeration date
04/08/2006
Last updated
03/11/2021
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