MRS. JENNIFER JENSEN FNP-BC NPI 1790186955

NPI Information

  • NPI: 1790186955
  • Provider Name: MRS. JENNIFER JENSEN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1870 W WINCHESTER RD
    SUITE 241
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 549-0170

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NPI Details

MRS. Jennifer Jensen, FNP-BC is a family nurse practitioner in Libertyville, IL. MRS. Jennifer Jensen, FNP-BC NPI is 1790186955. 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:

1870 W WINCHESTER RD
SUITE 241
LIBERTYVILLE, IL
ZIP 60048-358
Phone: (847) 549-0170
Fax: (847) 549-0172

The NPI 1790186955 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 9/8/2014 and was last updated on 9/8/2014.

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
1363LF0000XNurse PractitionerFamily209011697ILLINOISYes

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: 11/21/2025

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