Individual
ERIC JAMES JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8092 W PARADISE LN APT 1001, PEORIA, AZ 85382-4977
(605) 275-0924
Mailing address
8092 W PARADISE LN APT 1001, PEORIA, AZ 85382-4977
(605) 275-0924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R037114
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0993
AZ
Other
Enumeration date
11/02/2013
Last updated
11/08/2016
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