BETHANY KRISTINE JENSEN PMHNP-BC NPI 1124620117

NPI Information

NPI: 1124620117
Provider Name: BETHANY KRISTINE JENSEN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3180 CENTER ST NE STE 2100
SALEM, OR
ZIP 97301
Phone: (503) 588-5351
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Bethany Kristine Jensen, PMHNP-BC is a psychiatric/mental health nurse practitioner in Salem, OR with 4 years of experience. Bethany Kristine Jensen, PMHNP-BC NPI is 1124620117. 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:

3180 CENTER ST NE STE 2100
SALEM, OR
ZIP 97301-532
Phone: (503) 588-5351

The NPI 1124620117 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 11/13/2020 and was last updated on 11/13/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202010385NP-PP	OREGON	Yes

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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