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Contact Information

PATRICIA JENSEN, LPN
845 E FAIRVIEW AVE STE 120
MERIDIAN, ID83642-8048
 Phone: 208-887-6283
 Fax: 208-887-7759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Licensed Practical Nurse

164W00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for PATRICIA JENSEN · (Female)

NPI Number 1255621637
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 04/19/2011
Last updated 04/19/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PN-9105
  • ID Medicaid M8059118
Hospital affiliation(s) Not Available
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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