Jensen, Melissa Marie

Jensen, Melissa Marie is an individual health care provider with primary practice located at 8905 W Lincoln Ave , West Allis WI 53227-2468. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jensen, Melissa Marie can be contacted via phone (414) 328-6000.

Contact Information

Primary practice address
8905 W Lincoln Ave West Allis WI 53227-2468
Phone: (414) 328-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601006202 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2511-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2511 Wisconsin

Profile Details

NPI number 1336474717
LBN Legal business name Jensen, Melissa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2009
Last updated Mar 18th, 2024 - about last year

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 1336474717 NPPES
Michigan Other 5390159 BCBS
Michigan MEDICAID 100006694 BCBS

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