Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER SCOTT JENSEN
ActivePharmacist Clinician (PhC) · MEQUON, WI
Registration Details
- NPI Number
- 1053913947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2020 (5.4426387751639 yrs)
- Last Updated
- Nov 15, 2020
- License
-
19444-40 (WI)
Practice Information
- Address
-
11558 N PORT WASHINGTON RDMEQUON, WI, 530923416Browse WI providers · Browse ZIP 53092
- Phone
- 2622417983
- Fax
- 2622418231
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.