Kristine Jensen

Individual provider Active NPI Community Health Registered Nurse · Manistique, MI

NPI 1871894584 · NPPES record last updated Nov 11, 2010

Key facts

NPI
1871894584
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
4704171469 (MI)
Practice address
125 N Lake St
Manistique, MI 49854-1234
Phone
(906) 341-2144
Fax
(906) 341-5793
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4704171469MIMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704171469 MI Yes

Addresses

Primary practice location

125 N Lake St
Manistique, MI 49854-1234

Mailing address

125 N Lake St
Manistique, MI 49854-1234

Other providers in Manistique, MI

All providers in Manistique, MI · Community Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.