Jensen, Elizabeth

Jensen, Elizabeth is an individual health care provider with primary practice located at 120 Simsbury Rd Ste B , Avon CT 06001-3735. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Jensen, Elizabeth can be contacted via phone (860) 674-0111.

Contact Information

Primary practice address
120 Simsbury Rd Ste B Avon CT 06001-3735
Phone: (860) 674-0111
Fax: (860) 674-5406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 002310 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 000189 Connecticut

Profile Details

NPI number 1902912827
LBN Legal business name Jensen, Elizabeth
Credentials APRN, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 10th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902912827 NPPES
Connecticut MEDICAID 004205440

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