Individual
JILL M DAVID JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
(320) 693-4528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5687
MN
390200000X
Student in an Organized Health Care Education/Training Program
RN201511-6
MN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/09/2017
Last updated
03/20/2025
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