ELAINA S JENSEN PMHNP FNP NPI 1548577307

NPI Information

NPI: 1548577307
Provider Name: ELAINA S JENSEN, PMHNP, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2385 TABLE ROCK RD # 103
MEDFORD, OR
ZIP 97501
Phone: (512) 705-1971
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Elaina S Jensen, PMHNP, FNP is a psychiatric/mental health nurse practitioner in Medford, OR. Elaina S Jensen, PMHNP, FNP NPI is 1548577307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2385 TABLE ROCK RD # 103
MEDFORD, OR
ZIP 97501-510
Phone: (512) 705-1971
Fax: (844) 638-4335

The NPI 1548577307 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 8/31/2010 and was last updated on 2/24/2022.

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		8376	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	201701967NP-PP	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	APRN00363	NEVADA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60853245	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP119327	TEXAS	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN00363	NEVADA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201701966NP-PP	OREGON	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	TXB127809	OTHER	TEXAS	MEDICARE PROVIDER NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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