Healthcare Provider Details

I. General information

NPI: 1215853809
Provider Name (Legal Business Name): JOCELYN BRENEE IPSEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 ESAW ST
MINDEN NV
89423-9010
US

IV. Provider business mailing address

2767 ESAW ST
MINDEN NV
89423-9010
US

V. Phone/Fax

Practice location:
  • Phone: 559-920-4862
  • Fax:
Mailing address:
  • Phone: 559-920-4862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF06261831
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: