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NPI Code Detail

MEDICARE: EMILY A JENSEN AUD

MEDICARE: EMILY A JENSEN AUD
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
1231H00000XAudiologistA-2884NV

General Provider Information

NPI Number : 1346841194
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A JENSEN AUD
Provider Business Mailing Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number :
Provider Business Practice Location Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2020
Last Update Date : 11/06/2020

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Directions to “ EMILY A JENSEN AUD” Practice Location

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