Provider Demographics
NPI:1023256344
Name:JENSEN, SARAH J (NP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:J
Last Name:JENSEN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:129 OLD GROVELAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3270
Mailing Address - Fax:978-469-5374
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3270
Practice Address - Fax:978-469-5374
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2016-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA261628363LF0000X
MECNP161023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP485101Medicare PIN