Doctor Name: | KIRSTIN ALICE JENSEN |
NPI Number: | 1073620506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | SP007696 |
Business Practice Address: | 15 Thawmont Dr Sewickley, PA - 151439330 |
Business Phone Number: | 4127415585 |
Business Fax Number: | |
Mailing Address: | 15 Thawmont Dr, SEWICKLEY |
State: | PA |
Postal Code: | 151439330 |
Phone Number: | 4127415585 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP007696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |