LISA JENSEN


Address: 100 West Maple Rd., Walled Lake, MI 48390
Phone: 8663892727

LISA JENSEN (NPI# 1245690114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245690114
Entity Type Individual
Full Name LISA JENSEN
Practice Address 100 West Maple Rd.
Walled Lake
MI 48390
Mailing Address 3142 Adele Terrace
Commerce
MI 48382
Practice Telephone 8663892727
Mailing Telephone 2693696719
Enumeration Date 2016-03-04
Last Update Date 2016-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704253720 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA JENSEN

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1700159373 Lisa Jensen Advanced Practice Midwife 1624 Estudillo Ave, San Leandro, CA 94577-3916 2012-02-13
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1184816878 Lisa Ann Jensen Occupational Therapist 30624 457th Ave, Wakonda, SD 57073-6312 2007-08-16
1912087867 Lisa K Jensen Midwife 331 Upper Plain, Bradford, VT 05033 2006-10-16
1790727733 Lisa Ann Jensen Registered Nurse Slc Va Health Care System, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-06-12
1427017623 Lisa A Jensen Registered Nurse N2930 Bauer Ln, Fort Atkinson, WI 53538-9668 2006-03-17
1184005944 Lisa D Jensen Case Manager/Care Coordinator 1015 S Broadway, Suite 18, Minot, ND 58701-4667 2015-06-17
1730338013 Lisa R Jensen Social Worker 600 25th Ave S, Suite 109, Saint Cloud, MN 56301-4841 2008-09-11

Office Location

Street Address 100 WEST MAPLE RD.
City WALLED LAKE
State MI
Zip Code 48390

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043820913 Elizabeth Ann Manela Speech-Language Pathologist 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 2020-08-05
1205459674 Allor Outdoor Services LLC Chore Provider 3225 E Oakley Park Rd, Commerce Twp, MI 48390 2020-05-20
1467004382 Convenient Cm PC Dentist 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 2019-07-11
1629535117 Valerie Baunoch Nurse Practitioner 2057 E West Maple Rd, Commerce Twp, MI 48390 2019-02-21
1255858296 Finn Family Chiropractic Pllc Chiropractor 2344 South Commerce Road, Walled Lake, MI 48390 2017-08-29
1588012629 Shane Macphee Chiropractor 2901 Commerce Crossings, Commerce Township, MI 48390 2016-05-31
1255725123 Carissa Karanth Counselor 1500 Rustic Lane, Wolverine Lake, MI 48390 2015-03-27
1689095093 Mabell Omoye Scott Licensed Vocational Nurse 724 Owl Court, Wolverine Lake, MI 48390 2014-01-02
1093002230 Ilze Liene Junkulis-muller Pharmacist 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 2011-07-08
1750546115 Ryan K Toth Dentist 1080 E West Maple, Great Expressions Dental Centers, Walled Lake, MI 48390 2008-07-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922665280 Erin Czarnecki Nurse Practitioner 100 W West Maple Rd, Walled Lake, MI 48390-3402 2019-05-22
1659766012 Audra Collins Nurse Practitioner 100 W West Maple Rd, Walled Lake, MI 48390-3402 2015-04-02
1134540883 Kari Mcavoy Nurse Practitioner 100 W West Maple Rd, Walled Lake, MI 48390-3402 2013-12-25
1326348277 Kimberly Carol Thornhill Nurse Practitioner 100 W West Maple Rd, Walled Lake, MI 48390-3402 2010-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972339 Zeinab Berjaoui Nurse Practitioner 11496 Newbern Dr, Warren, MI 48093-2613 2020-11-08
1134720899 Whitney Ashton Mervau Nurse Practitioner 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 2020-11-07
1063013837 Amy Lynn Wadsworth Nurse Practitioner 9259 Chambord Dr, Ypsilanti, MI 48197-9281 2020-11-06
1821699844 Michelle Daldine Nurse Practitioner 38481 Gail St, Clinton Township, MI 48036-1823 2020-11-05
1710588876 Coty Cole Nurse Practitioner 2065 South Center Rd, Ste A, Burton, MI 48519 2020-11-05
1205437175 Michelle Jo Whitesel Nurse Practitioner 5861 Shadow Pines Ct, Howell, MI 48843-7130 2020-11-05
1326649617 Melinda Lee Hawley Nurse Practitioner 4019 Stark Dr, West Branch, MI 48661-9633 2020-11-04
1720689193 Mohammed Louthfur Rahman Nurse Practitioner Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 2020-11-03
1619578234 Devon Kruger Nurse Practitioner 4612 W David Hwy, Saranac, MI 48881-9740 2020-11-02
1760083208 Ramonna Van Alstine Nurse Practitioner 13932 Fox Ridge Ln, Allenton, MI 48002-4525 2020-11-02
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Competitor

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City WALLED LAKE
Zip Code 48390

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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