Individual
JOHANNA M JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 12TH AVE RD, STE A, NAMPA, ID 83686-7713
(208) 467-4406
(208) 467-4450
Mailing address
1615 12TH AVE RD, STE A, NAMPA, ID 83686-7713
(208) 467-4406
(208) 467-4450
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M9011
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147359
REGENCE BLUE SHIELD OF ID
ID
01
—
0638840001
DMERC
ID
01
—
70862
BLUE CROSS OF IDAHO
ID
05
—
806911600
—
ID
Enumeration date
03/14/2006
Last updated
05/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us