Jensen, Casey Mae

Jensen, Casey Mae is an individual health care provider with primary practice located at 140 Stonecrest Rd Ste 101 , Shelbyville KY 40065-8143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jensen, Casey Mae can be contacted via phone (502) 928-1060.

Contact Information

Primary practice address
140 Stonecrest Rd Ste 101 Shelbyville KY 40065-8143
Phone: (502) 928-1060
Fax: (502) 928-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3011491 Kentucky

Profile Details

NPI number 1326560087
LBN Legal business name Jensen, Casey Mae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Dec 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326560087 NPPES
Kentucky MEDICAID 7100494020

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