Amy Lou Jensen, FNP-C | |
1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 | |
(208) 878-8783 | |
(208) 878-8786 |
Full Name | Amy Lou Jensen |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1404 Pomerelle Ave Ste A1, Burley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033993191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 6069006-4405 (Utah) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | TEMP79193 (Idaho) | Primary |
Entity Name | Sterling Provider Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417002084 |
Mailing Address | Practice Location Address |
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Amy Lou Jensen, FNP-C 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 Ph: (208) 542-9111 | Amy Lou Jensen, FNP-C 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 Ph: (208) 878-8783 |
Shaylynn Sherrick Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2303 Park Ave, Burley, ID 83318 Phone: 208-677-3073 | |
Dr. Alexander Antar Torres Ii, DNP, ARNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-678-7796 Fax: 208-678-7799 | |
Ms. Ann Cueva, RNCFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1252 Bennett Ave, Suite B, Burley, ID 83318 Phone: 208-878-3486 Fax: 208-878-2005 | |
Mr. Scott Michael Cook, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 | |
Cindy Hurst, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Overland Ave, Burley, ID 83318 Phone: 208-825-6193 Fax: 208-825-6199 | |
Daelynn Jo Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 Pomerelle Ave, Suite B, Burley, ID 83318 Phone: 208-878-9432 Fax: 208-878-4576 |