Individual
MR. LEONARD JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1159 E IRON EAGLE DR, EAGLE, ID 83616-6871
(208) 209-3242
(208) 549-7880
Mailing address
1159 E IRON EAGLE DR, EAGLE, ID 83616-6871
(208) 209-3242
(208) 549-7880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050116NP
OR
363LF0000X
Family Nurse Practitioner
NP1166A
ID
Other
Enumeration date
07/19/2010
Last updated
12/09/2014
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