Jensen, Kelly Ann
Jensen, Kelly Ann is an individual health care provider with primary practice located at 3920 Outlook Rd , Sunnyside WA 98944-9202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jensen, Kelly Ann can be contacted via phone (509) 837-1676.Contact Information
Primary practice address
3920 Outlook Rd
Sunnyside WA 98944-9202
Phone: (509) 837-1676
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60327115 | Washington |
Profile Details
NPI number | 1033455845 |
---|---|
LBN Legal business name | Jensen, Kelly Ann |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2012 |
Last updated | Dec 26th, 2012 - about 13 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 | 1033455845 | NPPES |
Other | AP60327115 | WASHINGTON STATE ARNP LICENSE |
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