Individual
STEPHANIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 POTRERO AVE, ROOM 3C34, SAN FRANCISCO, CA 94110-3518
(415) 514-3000
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
678313
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA4151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678313
RN LICENSE NUMBER
CA
Enumeration date
04/28/2011
Last updated
12/11/2025
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