Individual
THERESA IRENE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 S SAGINAW ST STE 500, GRAND BLANC, MI 48439-2451
(810) 953-8700
(810) 953-8704
Mailing address
8200 S SAGINAW ST STE 500, GRAND BLANC, MI 48439-2451
(810) 953-8700
(810) 953-8704
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704270666
MI
Other
Enumeration date
01/26/2015
Last updated
01/28/2015
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