MEDICARE: JENSEN WARY

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	000001	PA

General Provider Information

NPI Number	:	1730039413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENSEN WARY

Provider Business Mailing Address
First Line	:	812 CENTRAL RD APT C
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-8976
Country	:	US
Telephone Number	:	570-380-3775
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-0001
Country	:	US
Telephone Number	:	570-271-6429
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ JENSEN WARY ” Practice Location

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