Provider Demographics
NPI:1245455328
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:
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Mailing Address - Street 1:1055 WESTGATE DRIVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114
Mailing Address - Country:US
Mailing Address - Phone:651-312-1500
Mailing Address - Fax:651-312-1593
Practice Address - Street 1:606 24TH AVE S
Practice Address - Street 2:SUITE 515
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:651-225-7800
Practice Address - Fax:651-225-7820
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR0645766163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse