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Amy Jensen
NPI 1295180529 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4128 Washington Rd Apt 107
Kenosha, WI 53144 - Phone
- (262) 210-9456
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-23
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 Wisconsin