Provider Demographics
NPI:1447459615
Name:JENSEN, HOPE JENNIFER (ARNP)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:JENNIFER
Last Name:JENSEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 N TRACY ST
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:IA
Mailing Address - Zip Code:50025-1247
Mailing Address - Country:US
Mailing Address - Phone:712-304-4249
Mailing Address - Fax:855-563-6192
Practice Address - Street 1:222 BROADWAY ST STE 2
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:IA
Practice Address - Zip Code:50025-1120
Practice Address - Country:US
Practice Address - Phone:855-563-6190
Practice Address - Fax:855-563-6192
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA104077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA15208OtherBCBS WELLMARK IDENTIFYER
IA0638536Medicaid
IAI20766OtherMEDICARE B
IAI20766OtherMEDICARE B