Provider Demographics
NPI:1447054960
Name:JENSEN, NATHAN WILLIAM
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:WILLIAM
Last Name:JENSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCRIBNER
Mailing Address - State:NE
Mailing Address - Zip Code:68057-3192
Mailing Address - Country:US
Mailing Address - Phone:402-968-1745
Mailing Address - Fax:
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCRIBNER
Practice Address - State:NE
Practice Address - Zip Code:68057-3192
Practice Address - Country:US
Practice Address - Phone:402-968-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider