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Derek Jensen
NPI 1669872420 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5305 Rebecca Rd
Las Vegas, NV 89130 - Phone
- (702) 287-8474
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
2255A2300X - Licence states on file
- FL, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada