ELAINA S JENSEN


Address: 2385 Table Rock Rd # 103, Medford, OR 97501-1510
Phone: 5127051971

ELAINA S JENSEN (NPI# 1548577307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548577307
Entity Type Individual
Full Name ELAINA S JENSEN
Other Name ELAINA MONROE
Credential PMHNP, FNP
Practice Address 2385 Table Rock Rd # 103
Medford
OR 97501-1510
Mailing Address 4012 Dominion Cv
Austin
TX 78759-7357
Practice Telephone 5127051971
Practice Fax Number 8446384335
Mailing Telephone 5127051971
Mailing Fax Number 8446384335
Enumeration Date 2010-08-31
Last Update Date 2020-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 8376 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
201701967NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN00363 NV Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP119327 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201701966NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN00363 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE PROVIDER NUMBER TXB127809 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 E Main St, Medford, OR 975016041 5412002900
225 Keystone Way, Eagle Point, OR 975249009 5129258676

Office Location

Street Address 2385 TABLE ROCK RD # 103
City MEDFORD
State OR
Zip Code 97501-1510

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073147716 Paradigm Mental Health and Wellness LLC Nurse Practitioner 724 S Central Ave Ste 101d, Medford, OR 97501-7808 2020-03-02
1952860066 Mcarthur, Gruff & Associates, LLC Dba Carmen Kosicek, Pmhnp Nurse Practitioner 1314b Center Dr Unit 439, Medford, OR 97501-7943 2019-03-18
1811246879 Deborra M. Torres, Msn, Pmhnp, LLC Nurse Practitioner 5 N Main St Ste A, Medford, NJ 08055-2439 2012-09-06
1518013705 Susan Wrona Nurse Practitioner 14 Cottage St, Medford, OR 97504-7332 2007-01-28
1558442061 Pamela Jean Rivera Nurse Practitioner 15 Crater Lake Ave, Medford, OR 97504-7444 2006-10-18
1164538096 Kevan Joyce Olson Nurse Practitioner 255 W Stewart Ave Ste 101, Medford, OR 97501-3600 2006-08-22
1851325252 Ruth E Koch Nurse Practitioner 31 Industrial Boulevard, Yaphank Center, Medford, NY 11763 2006-07-10
1174008536 Connie Diep Nurse Practitioner 26 City Hall Mall, Medford, MA 02155-4754 2018-10-01
1366927220 Helena Frances Turner Nurse Practitioner 900 E Main St, Medford, OR 97504-7136 2018-09-26
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Competitor

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City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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