Most Relevant Information
Provider Data
| NPI Number: | 1003508763 |
| Provider Name: | JENSEN THOMPSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 9117602 |
Most Important Dates
| Enumeration Date: | 05/22/2023 |
| Last Updated: | 07/12/2023 |
Provider Practice Location
300 PINELLAS ST
CLEARWATER
FL
337563804
Practice Location Phone/Fax
| Phone: | 7274627000 |
| Fax: |
Provider Mailing Location
1745 13TH AVE S
SAINT PETERSBURG
FL
337122413
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |