Provider Demographics
NPI:1154874204
Name:JENSEN, HOLLY ANN LOUISE (DNP, ARNP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN LOUISE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 S CLIFF AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1058
Mailing Address - Country:US
Mailing Address - Phone:605-322-5800
Mailing Address - Fax:605-322-5801
Practice Address - Street 1:1315 S CLIFF AVE STE 2000
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-5800
Practice Address - Fax:605-322-5801
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA090590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily