Jenson, David
Jenson, David is an individual health care provider with primary practice located at 3212 N Windsong Dr Suite 200, Prescott Valley AZ 86314-2255. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Jenson, David can be contacted via phone (928) 583-1000.Contact Information
Primary practice address
3212 N Windsong Dr Suite 200
Prescott Valley AZ 86314-2255
Phone: (928) 583-1000
Fax: (866) 751-4157
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP7855 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP7855 | Arizona |
Profile Details
NPI number | 1396126983 |
---|---|
LBN Legal business name | Jenson, David |
Credentials | DNP, PMHNP, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2015 |
Last updated | Jun 1st, 2022 - about 2 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 | 1396126983 | NPPES |
Arizona | MEDICAID | 042864 |
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