Individual
CARISSA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601B W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 787-8151
Mailing address
601B W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 781-8448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752200
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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