Individual
ELIZABETH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
120 SIMSBURY RD STE B, AVON, CT 06001-3735
(860) 674-0111
(860) 674-5406
Mailing address
120 SIMSBURY RD STE 12B, AVON, CT 06001-3735
(860) 674-0111
(860) 674-5406
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
000189
CT
364SW0102X
Women's Health Clinical Nurse Specialist
002310
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004205440
—
CT
Enumeration date
08/22/2006
Last updated
08/10/2016
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