Johanna M Jensen is a Ophthalmology in Nampa, Idaho. Johanna M Jensen practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Johanna M Jensen is 1770552846. The last update date is 2012-05-01.
Johanna M Jensen's current location address is 1615 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084674406 and fax number 2084674450. The mailing address for Johanna M Jensen is 1615 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna M Jensen |
|---|---|
| Address | 1615 12th Ave Rd, Nampa, Idaho |
| Phone Number | 2084674406 |
| Fax Number | 2084674450 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770552846 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2012-05-01 |
Provider Mailing Address Detail
| Address | 1615 12th Ave Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836867713 |
| Phone Number | 2084674406 |
| Fax Number | 2084674450 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | M9011 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 638840001 | ID | DMERC | |
| 806911600 | ID | -- | |
| 10147359 | ID | REGENCE BLUE SHIELD OF ID | |
| 70862 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Johanna M Jensen by the Centers for Medicare & Medicaid Services?
The Johanna M Jensen has been assigned the NPI (National Provider Identifier) 1770552846 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Johanna M Jensen's physical address?
The Johanna M Jensen is physically located at 1615 12Th Ave Rd, in the city of Nampa, ID, with the postal code 836867713.
What is the Johanna M Jensen's area of specialization and corresponding taxonomy classification?
The Johanna M Jensen's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Johanna M Jensen receive its 1770552846 assignment from the Centers for Medicare & Medicaid Services?
The Johanna M Jensen was assigned its 1770552846 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information regarding Johanna M Jensen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Johanna M Jensen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-01.