MEDICARE: JUDITH MARGARET JENSEN ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP1746572	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487161873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH MARGARET JENSEN ARNP

Provider Business Mailing Address
First Line	:	12293 75TH LN N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2222
Country	:	US
Telephone Number	:	561-329-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	12293 75TH LN N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2222
Country	:	US
Telephone Number	:	561-329-2515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2018
Last Update Date	:	03/15/2019

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