Individual
MICHELLE LYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1929 EVA RD, APT 37, KRONENWETTER, WI 54455-7110
(612) 210-4502
Mailing address
1929 EVA RD, APT 37, KRONENWETTER, WI 54455-7110
(612) 210-4502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162146
WI
367500000X
Certified Registered Nurse Anesthetist
R 142451-7
MN
Other
Enumeration date
11/11/2010
Last updated
01/15/2013
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