Healthcare Provider Details

I. General information

NPI: 1811285950
Provider Name (Legal Business Name): KRISTEN MARIE JENSEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 1ST ST S
WINTHROP IA
50682-9759
US

IV. Provider business mailing address

PO BOX 359 PO BOX 359
MANCHESTER IA
52057-0359
US

V. Phone/Fax

Practice location:
  • Phone: 319-935-3343
  • Fax: 319-935-3331
Mailing address:
  • Phone: 563-927-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA115754
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: