| Lauren Keanna Jensen, | |
|
15418 Main St, Mill Creek, WA 98012-9030 | |
| (425) 339-5453 | |
| (425) 252-4441 |
| Full Name | Lauren Keanna Jensen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 15418 Main St, Mill Creek, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336786649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN60951576 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61307230 (Washington) | Primary |
| Entity Name | The Polyclinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Keanna Jensen, Po Box 5127, Everett, WA 98206-5127 Ph: (425) 304-8431 | Lauren Keanna Jensen, 15418 Main St, Mill Creek, WA 98012-9030 Ph: (425) 339-5453 |
Martha A Hoffman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St, Mill Creek, WA 98012 Phone: 425-225-8003 Fax: 425-225-8023 | |
Mr. Saihou Jagne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 153rd St Se, Mill Creek, WA 98012 Phone: 425-338-4000 | |
Jessica E Brandt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15418 Main St, Mill Creek, WA 98012 Phone: 425-225-8004 Fax: 425-225-8021 | |
Masha Mobbley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Mill Creek, WA 98012 Phone: 425-385-2009 | |
Jonathan G. Turowski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012 Phone: 425-385-2009 Fax: 425-939-0807 | |
Justin Rigoloso, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15833 Mill Creek Blvd # 12010, Mill Creek, WA 98012 Phone: 425-259-0212 | |
Leah Adela Grant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012 Phone: 425-338-4000 Fax: 425-745-6158 |