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Contact Information

JENSEN L NELSON, PA-C
521 2ND PLACE NORTH
M/S KSC 11-103
KENT, WA98032
 Phone: 425-690-3491
 Fax: 425-690-9091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENSEN L NELSON · (Female)

NPI # 1437339942
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/13/2007
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10003776
  • WA Medicaid 2024575
Hospital affiliation(s)
  • VALLEY MEDICAL CENTER - (Acute Care)
    400 S 43RD ST
    RENTON, WA 98055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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