Provider Demographics
NPI:1689569535
Name:JENSEN, TAYLOR (FNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 POINT DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-6790
Mailing Address - Country:US
Mailing Address - Phone:435-668-5643
Mailing Address - Fax:
Practice Address - Street 1:640 E 700 S STE 10C
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4036
Practice Address - Country:US
Practice Address - Phone:435-669-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7182974405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily