NPI Profile for THERESA M JENSEN in ELIZABETH, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Licensed Practical Nurse |
164W00000X |
| NPI Number | 1316105695 |
|
| Status | Active | |
| Credentials | LPN CAC III | |
| Entity | Individual | |
| Enumeration date | 05/23/2008 | |
| Last updated | 05/23/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THERESA M JENSEN
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