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Individual

ERICA M JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
419 E DONALD ST, WATERLOO, IA 50703-1500
(319) 236-1911
(319) 287-5832
Mailing address
4150 KIMBALL AVE, PO BOX 2758, WATERLOO, IA 50701-9086
(319) 235-5390
(319) 235-5607

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A120864
IA
363LF0000X
Family Nurse Practitioner
A120864
IA

Other

Enumeration date
06/27/2013
Last updated
09/12/2013
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