Tanya Jean Jensen FNP-C

NPI 1043594799 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1043594799
Gender Female
Enumeration Date 09/29/2011
Last Updated 09/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
744 S WEBSTER AVE
GREEN BAY WI, 54301-3505, US
Phone (920) 433-3500
Fax
Business Location
1221 5TH AVE
CRIVITZ WI, 54114-1423, US
Phone (715) 854-2981
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Wisconsin
License Number 4592-33
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According to our database, Ms. Tanya Jean Jensen FNP-C NPI is 1043594799, taxonomy code is 363LF0000X and license number is 4592-33, license state is located at Wisconsin. Tanya Jean Jensen FNP-C physically located at 744 S Webster Ave, Green Bay WI, 54301-3505. NPI Number Tanya Jean Jensen FNP-C has the Individual type.

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1043594799 NPI number is provided on an as is basis without warranty of any kind. 1043594799 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Jean Jensen FNP-C are for informational purposes only.