Provider Demographics
NPI:1588873145
Name:JENSEN, RHONDA R (CNS)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:R
Last Name:JENSEN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:R
Other - Last Name:KNUDSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNS
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-9700
Mailing Address - Fax:605-328-9701
Practice Address - Street 1:1305 W 18TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-0401
Practice Address - Country:US
Practice Address - Phone:605-328-6147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA105132163WD0400X
SDCS004025364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator