NPI 1073975116
Todd Jensen
Practice location
- Address
- 150 Shoup Ave, Idaho Falls, ID 83402-3657
- Phone
- (208) 528-5700
- Mailing address
- 4028 E 600 N, Rigby, ID 83442-5164
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1073975116
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2016
- Record last updated
- 28 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.