Most Relevant Information
Provider Data
| NPI Number: | 1003578428 |
| Provider Name: | MAUREEN MCDEVITT JENSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | 4704156998 |
Most Important Dates
| Enumeration Date: | 10/13/2021 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
769 LAKEWOOD LN
MARQUETTE
MI
498559519
Practice Location Phone/Fax
| Phone: | 9062504975 |
| Fax: | 9062731312 |
Provider Mailing Location
769 LAKEWOOD LN
MARQUETTE
MI
498559519
Provider Mailing Phone/Fax
| Phone: | 9062504975 |
| Fax: | 9062731312 |