STACY K JENSEN APRN NPI 1114993441

NPI Information

NPI: 1114993441
Provider Name: STACY K JENSEN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
315 E BROADWAY
4TH FLOOR
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-2500
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Stacy K Jensen, APRN is a family nurse practitioner in Louisville, KY with 20 years of experience. Stacy K Jensen, APRN NPI is 1114993441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

315 E BROADWAY
4TH FLOOR
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 629-2500
Fax: (502) 272-5339

The NPI 1114993441 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 2/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4444P	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3004444	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000600371	OTHER	KENTUCKY	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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