Jensen, Elaina S
Jensen, Elaina S is an individual health care provider with primary practice located at 2385 Table Rock Rd # 103 , Medford OR 97501-1510. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jensen, Elaina S can be contacted via phone (512) 705-1971.Contact Information
Primary practice address
2385 Table Rock Rd # 103
Medford OR 97501-1510
Phone: (512) 705-1971
Fax: (844) 638-4335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 8376 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201701967NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN00363 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60853245 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP119327 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN00363 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201701966NP-PP | Oregon |
Profile Details
| NPI number | 1548577307 |
|---|---|
| LBN Legal business name | Jensen, Elaina S |
| Credentials | PMHNP, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2010 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548577307 | NPPES |
| Texas | Other | TXB127809 | MEDICARE PROVIDER NUMBER |
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