Jensen, Jill N

Jensen, Jill N is an individual health care provider with primary practice located at 1001 Risen Son Blvd , Council Bluffs IA 51503-1910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jensen, Jill N can be contacted via phone (712) 256-8600.

Contact Information

Primary practice address
1001 Risen Son Blvd Council Bluffs IA 51503-1910
Phone: (712) 256-8600
Fax: (712) 256-8599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001628 Iowa

Profile Details

NPI number 1477652469
LBN Legal business name Jensen, Jill N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 17th, 2018 - about 6 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 1477652469 NPPES
Iowa MEDICAID 0260125
Iowa MEDICAID 47068731712
Iowa MEDICAID 1477652469

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