Provider Demographics
NPI:1174927719
Name:JENSEN, KAREN ANNE (RN, BSN, CCM)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANNE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14803 BENDING POINT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247
Mailing Address - Country:US
Mailing Address - Phone:210-629-9442
Mailing Address - Fax:
Practice Address - Street 1:14803 BENDING POINT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247
Practice Address - Country:US
Practice Address - Phone:210-629-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558871163W00000X, 163WH0200X, 163WX0200X
IL00089607163WC0400X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WX0200XNursing Service ProvidersRegistered NurseOncology
No174H00000XOther Service ProvidersHealth Educator