Individual
JILLENE BRACK JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15950 RIDGE PARK DR, HOUSTON, TX 77095-2612
(281) 463-5910
Mailing address
16619 RAINBOW LAKE RD, HOUSTON, TX 77095-4065
(860) 213-1510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796868
TX
163W00000X
Registered Nurse
E61039
CT
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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