Healthcare Provider Details

I. General information

NPI: 1902723893
Provider Name (Legal Business Name): BONNIE JENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 RITTENHOUSE ST
HASTINGS NE
68901-7828
US

IV. Provider business mailing address

620 RITTENHOUSE ST
HASTINGS NE
68901-7828
US

V. Phone/Fax

Practice location:
  • Phone: 308-390-6035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: