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NPI Code Detail

MEDICARE: RENAY JENSEN

MEDICARE: RENAY JENSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1245175322
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENAY JENSEN
Provider Business Mailing Address
First Line : 2426 PARKWAY DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-4723
Country : US
Telephone Number : 989-285-0170
Fax Number : 989-285-0170
Provider Business Practice Location Address
First Line : 2426 PARKWAY DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-4723
Country : US
Telephone Number : 989-285-0170
Fax Number : 989-285-0170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ RENAY JENSEN ” Practice Location

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