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NPI Code Detail

MEDICARE: PATRICIA ANN JENSEN

MEDICARE:   PATRICIA ANN 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
1385H00000XRespite CareNE

General Provider Information

NPI Number : 1093513574
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN JENSEN
Provider Business Mailing Address
First Line : 4601 S 1ST ST TRLR 9
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5790
Country : US
Telephone Number : 402-649-7176
Fax Number :
Provider Business Practice Location Address
First Line : 4601 S 1ST ST TRLR 9
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5790
Country : US
Telephone Number : 402-649-7176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “ PATRICIA ANN JENSEN ” Practice Location

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