Dr LEONARD R JENSEN is a male medical professional, specializing in Nurse Practitioner. He graduated in 2009.
KEY STONE HEALTH CARE
868 E RIVERSIDE DR
SUITE 170
EAGLE
ID
836166025
Tel: 2085140670
| Npi | 1851604904 |
| Pac Id | 0042223687 |
| Professional Enrollment Id | I20120820000613 |
| Last Name | JENSEN |
| First Name | LEONARD |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | KEY STONE HEALTH CARE |
| Group Practice Pac Id | 0648402784 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 868 E RIVERSIDE DR |
| Line 2 Street Address | SUITE 170 |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE |
| State | ID |
| Zip Code | 836166025 |
| Phone Number | 2085140670 |
| Hospital Affiliation Ccn 1 | 130007 |
| Hospital Affiliation Lbn 1 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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