Individual provider · Type 1 NPI
Dorene R. Jensen, PA
Medical Physician Assistant · La Crosse, WI
NPI number
1386640407
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1212 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1386640407
Dorene R. Jensen, PA's National Provider Identifier is 1386640407, issued on Jun 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Sep 14, 2015.