Brenna Jensen PA-C

NPI 1285938985 - Physician Assistant - 363A00000X

NPI Details
NPI 1285938985
Gender Female
Enumeration Date 01/10/2011
Last Updated 11/05/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
8950 W. EMERALD
SUITE 168
BOISE ID, 83704, US
Phone (208) 323-6273
Fax (208) 323-6277
Business Location
190 E. BANNOCK
BOISE ID, 83712, US
Phone (208) 381-3790
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 006026
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According to our database, Brenna Jensen PA-C NPI is 1285938985, taxonomy code is 363A00000X and license number is 006026, license state is located at Georgia. Brenna Jensen PA-C physically located at 8950 W. Emerald, Boise ID, 83704. NPI Number Brenna Jensen PA-C has the Individual type.

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1285938985 NPI number is provided on an as is basis without warranty of any kind. 1285938985 is maintained by the National Plan & Provider Enumeration System. The contents of Brenna Jensen PA-C are for informational purposes only.