Provider Demographics
NPI:1659716249
Name:JENSEN, DEBORAH JEAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JEAN
Last Name:JENSEN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9021 CAIRN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6652
Mailing Address - Country:US
Mailing Address - Phone:901-761-3255
Mailing Address - Fax:901-761-3257
Practice Address - Street 1:1030 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2127
Practice Address - Country:US
Practice Address - Phone:901-523-5899
Practice Address - Fax:901-577-7430
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN17446363LF0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease