SearchNew York156F00000X

Brooke Jensen

NPI 1437410081 · on the registry since 2012 · sole proprietor

Practice

Address
99305 Hickory Dr
Fort Drum, NY 13603
Phone
(315) 681-6960

Registry record

Primary taxonomy
156F00000X
156F00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-30

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 New York