Jennifer Desiree Mortensen, EDS is a 
Psychologist - School based in Smith, Nevada. Jennifer Desiree Mortensen is licensed to practice in Nevada (license number 35064) and her current practice location is 
61 Rivers Rd, Smith, Nevada. She can be reached at her office (for appointments etc.) via phone at 
(775) 636-1251.
NPI number for Jennifer Desiree Mortensen is 1033848379 and her current mailing address is 61 Rivers Rd, Smith, Nevada. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033848379.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jennifer Desiree Mortensen | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist - School | 
|---|
| Location | 61 Rivers Rd, Smith, Nevada | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1033848379
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 06/09/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Jennifer Desiree Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1033848379 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 103TS0200X | Psychologist - School | 35064 (Nevada) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Desiree Mortensen is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Jennifer Desiree Mortensen, EDS 61 Rivers Rd,
 Smith, NV 89430-9702
 Ph: () -
 | Jennifer Desiree Mortensen, EDS 61 Rivers Rd,
 Smith, NV 89430-9702
 Ph: (775) 636-1251
 | 
		
		 
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