Provider Demographics
NPI:1598900037
Name:JENSEN, JANE L (MSMH)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:L
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MSMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 LEGACY POINTE WAY
Mailing Address - Street 2:APT 232
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-2162
Mailing Address - Country:US
Mailing Address - Phone:484-619-4697
Mailing Address - Fax:610-849-0641
Practice Address - Street 1:2910 LEGACY POINTE WAY
Practice Address - Street 2:APT 232
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-2162
Practice Address - Country:US
Practice Address - Phone:484-619-4697
Practice Address - Fax:610-849-0641
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health