Jensen, Kimberly Joann

Jensen, Kimberly Joann is an individual health care provider with primary practice located at 427 E Central Ave , Winter Haven FL 33880-3051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jensen, Kimberly Joann can be contacted via phone (863) 299-1107.

Contact Information

Primary practice address
427 E Central Ave Winter Haven FL 33880-3051
Phone: (863) 299-1107
Fax: (863) 291-3318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN1801412 Florida

Profile Details

NPI number 1043550429
LBN Legal business name Jensen, Kimberly Joann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Feb 18th, 2019 - about 5 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 1043550429 NPPES
Florida Other 13689003 CAQH

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