Individual
MRS. SHAWN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., CPNP
Contact information
Practice address
4855 S MOORLAND RD STE 250, NEW BERLIN, WI 53151-7494
(262) 789-6020
(262) 789-6025
Mailing address
1320 CARDINAL DR, OCONOMOWOC, WI 53066-2383
(262) 893-7641
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
161673-30
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
13131-33
WI
Other
Enumeration date
01/19/2010
Last updated
10/12/2022
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