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NPI Code Detail

MEDICARE: ALICE MICHELLE JENSEN RN

MEDICARE:   ALICE MICHELLE JENSEN  RN
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
1163W00000XRegistered Nurse6089344-3102UT

General Provider Information

NPI Number : 1558290429
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE MICHELLE JENSEN RN
Provider Business Mailing Address
First Line : 218 N CARLTON AVE
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-3155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 218 N CARLTON AVE
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-3155
Country : US
Telephone Number : 801-362-0298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ ALICE MICHELLE JENSEN RN” Practice Location

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