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NPI Profile for LISA K JENSEN in BRADFORD, VT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Midwife |
176B00000X |
| NPI # | 1912087867 |
|
| Status | Active | |
| Credentials | FNP CNM | |
| Entity | Individual | |
| Enumeration date | 10/16/2006 | |
| Last updated | 12/23/2011 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA K JENSEN
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LISA K JENSEN, FNP CNM