Jensen, Patricia

Jensen, Patricia is an sole proprietor health care provider with primary practice located at 845 E Fairview Ave Ste 120 , Meridian ID 83642-8048. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Nursing Service Related Providers / Personal Care Attendant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Jensen, Patricia can be contacted via phone (208) 887-6283.

Contact Information

Primary practice address
845 E Fairview Ave Ste 120 Meridian ID 83642-8048
Phone: (208) 887-6283
Fax: (208) 887-7759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN-9105 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1255621637
LBN Legal business name Jensen, Patricia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 15 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 1255621637 NPPES
Idaho MEDICAID M8059118

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