Jared Jensen

NPI 1922262336 · on the registry since 2008 · sole proprietor

Practice

Address: 2016 S Eagle Road
Meridian, ID 83642
Phone: (208) 887-6810
Fax: (208) 887-6797
Organisation at this address: Back 2 Life Medical Inc
Advanced Medical Center
Griffin Chiropractic Pa
Meridian Physical Medicine
Interventional Pain Solutions Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-11-20

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