Individual
TIFFANY ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10467 COUNTY HIGHWAY B, CHIPPEWA FALLS, WI 54729-6226
(414) 426-1659
Mailing address
10467 COUNTY HIGHWAY B, CHIPPEWA FALLS, WI 54729-6226
(414) 426-1659
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308783-31
WI
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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