Stacy K Jensen in Louisville - Nurse Practitioner
Stacy K Jensen - NPI 1114993441
Stacy K Jensen is a Nurse Practitioner in Louisville, Kentucky. Stacy K Jensen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacy K Jensen is 1114993441. The last update date is 2022-02-21.
Stacy K Jensen's current location address is 315 E Broadway, Louisville, Kentucky. You can contact this provider via phone number 5026292500 and fax number 5026292055. The mailing address for Stacy K Jensen is 315 E Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy K Jensen |
|---|---|
| Address | 315 E Broadway, Louisville, Kentucky |
| Phone Number | 5026292500 |
| Fax Number | 5026292055 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1114993441 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2022-02-21 |
Provider Mailing Address Detail
| Address | 315 E Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402023700 |
| Phone Number | 5026292500 |
| Fax Number | 5026292055 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4444P |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600371 | KY | ANTHEM |
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What is the unique identification code assigned to Stacy K Jensen by the Centers for Medicare & Medicaid Services?
The Stacy K Jensen has been issued the NPI (National Provider Identifier) 1114993441. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacy K Jensen?
The Stacy K Jensen is situated at 315 E Broadway, in the city of Louisville, state of KY, with the zip code 402023700.
What is the Stacy K Jensen's area of specialization and corresponding taxonomy classification?
The Stacy K Jensen's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Stacy K Jensen's 1114993441 issued?
The Stacy K Jensen's 1114993441 was issued on 2006-02-27.
As of what date were the details related to Stacy K Jensen most recently updated or revised?
The information pertaining to Stacy K Jensen, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-21.