Individual
PATRICK GAYLE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2801 NW CASTLE DR, BLUE SPRINGS, MO 64015-2881
(602) 463-2601
Mailing address
3600 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 64064-2369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019008100
MO
Other
Enumeration date
03/12/2019
Last updated
04/12/2023
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