Provider Demographics
NPI:1770834863
Name:JENSEN, ASHLEY CAROLINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CAROLINE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 BRIAN DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55038-9793
Mailing Address - Country:US
Mailing Address - Phone:651-303-2358
Mailing Address - Fax:
Practice Address - Street 1:7311 BRIAN DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MN
Practice Address - Zip Code:55038-9793
Practice Address - Country:US
Practice Address - Phone:651-303-2358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1209051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist