Individual
ADRIENNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(303) 324-4590
Mailing address
10178 W LOS GATOS DR, PEORIA, AZ 85383-3552
(303) 324-4590
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
246746
AZ
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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