Individual
MAX BENJAMIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5550 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3167
(505) 462-6600
Mailing address
1449 ADAMS ST NE, ALBUQUERQUE, NM 87110-5046
(503) 830-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70389
NM
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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