Johanna M Jensen, M.D.

NPI #1770552846 in Nampa, Idaho

Provider Information

NPI Number: 1770552846
Entity Type: Individual
Name: Johanna M Jensen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Mar 14, 2006
Last Updated: May 1, 2012

Practice Location

Address: 1615 12TH AVE RD
Address 2: STE A
City: Nampa
State: Idaho
ZIP Code: 83686-7713
Phone: (208) 467-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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