Individual
ANDREA JENNETTE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-1510
Mailing address
16508 22ND AVENUE CT E, TACOMA, WA 98445-4526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
862759
TX
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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