Provider Demographics
NPI:1932149937
Name:JENSEN, CYNTHIA (ARNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 FIR ST
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98844-9100
Mailing Address - Country:US
Mailing Address - Phone:253-905-5871
Mailing Address - Fax:509-740-4996
Practice Address - Street 1:1321 MAIN ST OFC A
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:WA
Practice Address - Zip Code:98844-9384
Practice Address - Country:US
Practice Address - Phone:509-240-9608
Practice Address - Fax:509-740-4996
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006098363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP49163Medicare UPIN