person
Marianne Engrave Jensen, NP
Family Nurse Practitioner in Oakland, California
NPI 1780788315

Marianne Engrave Jensen is a Family Nurse Practitioner based in Oakland, CA and is specialized in Family. Marianne Engrave Jensen practices in Oakland, CA and has the professional credentials of NP. The NPI Number for Marianne Engrave Jensen is 1780788315 and holds a License No. NP (California).

The current practice location address for Marianne Engrave Jensen is 3451 E 12Th Street, Oakland, CA and can be reached out via phone at 510-535-3319 and via fax at 510-535-4187.

Location: 3451 E 12Th Street, Oakland, CA, 94601-3463
person
Provider Profile Details
NPI Number
1780788315
Provider Name
Marianne Engrave Jensen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3451 E 12Th Street, Oakland, CA, 94601-3463
Phone Number
510-535-3319
Fax Number
510-535-4187
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ29799Z 01 CA FQHC MEDICARE PART B
55-1975 01 CA FQHC MEDICARE PART A
FHC71021F 05 CA
HAP71021F 01 CA FPACT
institution
Provider Business Practice Location Address Details
Address
3451 E 12Th Street
City
State
Zip
94601
Phone Number
510-535-3319
Fax Number
510-535-4187
person
Provider Business Mailing Address Details
Address
3451 E 12Th Street
City
State
Zip
94601
Phone Number
510-535-3319
Fax Number
510-535-4187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP (California)
Definition
Definition to come...
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