Individual provider · Type 1 NPI
Mariel Jensen, CPNP, DNP
Pediatric Nurse Practitioner · West Islip, NY
NPI number
1790135523
Active
Practice location
390 Montauk Hwy
West Islip, NY 11795-4403
Fax (631) 422-0703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F382728-1 (NY) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in West Islip
About NPI 1790135523
Mariel Jensen, CPNP, DNP's National Provider Identifier is 1790135523, issued on Jun 13, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Islip, NY. The record was last updated on May 8, 2018.