Individual
MR. JODY LYNN JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,APRN,PMHNP
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-8854
(218) 894-8867
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-8854
(218) 894-8867
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-1189A
ID
Other
Enumeration date
07/09/2012
Last updated
01/05/2017
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