Individual
ASHLEY NICOLE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6700 MERCY RD STE 109, OMAHA, NE 68106-2629
(402) 354-2273
(402) 354-6680
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-4230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
126593
IA
363L00000X
Nurse Practitioner
Primary
3130
NE
Other
Enumeration date
06/14/2024
Last updated
09/30/2024
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