Individual
REBECCA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
425 S WASHINGTON ST, COMBINED LOCKS, WI 54113-1049
(920) 788-7900
Mailing address
PO BOX 159, COMBINED LOCKS, WI 54113-0159
(920) 423-4158
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
160077-30
WI
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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