Jensen, Lisa K

Jensen, Lisa K is an individual health care provider with primary practice located at 331 Upper Plain , Bradford VT 05033. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jensen, Lisa K can be contacted via phone (802) 222-4722.

Contact Information

Primary practice address
331 Upper Plain Bradford VT 05033
Phone: (802) 222-4722
Fax: (802) 222-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 0256212301 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010025554 Vermont

Profile Details

NPI number 1912087867
LBN Legal business name Jensen, Lisa K
Credentials FNP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 23rd, 2011 - about 14 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 1912087867 NPPES
New Hampshire MEDICAID 30005029
New Hampshire MEDICAID 1003832

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