Search › Idaho › 207X00000X
Adam Jenseen
NPI 1073339321 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5310 Diamond Cir
Chubbuck, ID 83202 - Phone
- (858) 264-6361
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho