Individual
ELAINA S JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
2385 TABLE ROCK RD # 103, MEDFORD, OR 97501-1510
(512) 705-1971
(844) 638-4335
Mailing address
880 S EDISON ST UNIT 880A, SALT LAKE CITY, UT 84111-4262
(512) 705-1971
(844) 638-4335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8376
CA
363LF0000X
Family Nurse Practitioner
201701967NP-PP
OR
363LF0000X
Family Nurse Practitioner
APRN00363
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201701966NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP119327
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60853245
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN00363
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB127809
MEDICARE PROVIDER NUMBER
TX
Enumeration date
08/31/2010
Last updated
02/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us