Organization
LIFESTYLES
Active
Organization
LIFESTYLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE JENSEN NP (NURSE PRACTITIONER)
(520) 409-0845
Entity
Organization
Contact information
Practice address
205 W GIACONDA WAY STE 105, TUCSON, AZ 85704-4350
(520) 409-0845
Mailing address
205 W GIACONDA WAY STE 105, TUCSON, AZ 85704-4350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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