Provider Demographics
NPI:1477104453
Name:JENSEN, MADISON KATHLEEN (NP)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:KATHLEEN
Last Name:JENSEN
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Gender:
Credentials:NP
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Mailing Address - Street 1:4350 SHAWNEE MISSION PKWY SUITE 2203
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205
Mailing Address - Country:US
Mailing Address - Phone:913-945-7641
Mailing Address - Fax:913-945-7604
Practice Address - Street 1:4350 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 2203
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205
Practice Address - Country:US
Practice Address - Phone:913-945-7641
Practice Address - Fax:913-945-7604
Is Sole Proprietor?:No
Enumeration Date:2019-09-22
Last Update Date:2025-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS53-78924-021363L00000X
MO2021040574363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner