Provider Demographics
NPI:1376846477
Name:JENSEN, LINDA L (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:JENSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-3243
Mailing Address - Country:US
Mailing Address - Phone:402-968-0934
Mailing Address - Fax:
Practice Address - Street 1:9105 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4723
Practice Address - Country:US
Practice Address - Phone:402-502-8330
Practice Address - Fax:402-502-8331
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE44871376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide