Provider Demographics
NPI:1306135405
Name:JENSEN, PATRICIA J (MS/PSY)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MS/PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-1103
Mailing Address - Country:US
Mailing Address - Phone:913-426-1431
Mailing Address - Fax:
Practice Address - Street 1:1423 1ST AVE
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-1103
Practice Address - Country:US
Practice Address - Phone:913-426-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator