Miranda Jensen
Athletic Trainer · Southlake, TX
Practice location
1715 Mesquite RdSouthlake, TX 76092-5865
- Phone
- (817) 707-0021
NPI record
- NPI
- 1053793992
- Entity type
- Individual (Type 1)
- Enumeration date
- June 28, 2015
- Last updated
- June 28, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
1470 | SC |
About Miranda Jensen
Miranda Jensen is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1715 Mesquite Rd, Southlake, TX 76092-5865. The NPI number 1053793992 was assigned on June 28, 2015 and the record was last updated on June 28, 2015.
Miranda Jensen lists a license in the registry: #1470 (SC) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Miranda Jensen?
The NPI number is 1053793992.
What is the phone number of Miranda Jensen?
The phone number listed for the practice location is (817) 707-0021.
Where is Miranda Jensen located?
1715 Mesquite Rd, Southlake, TX 76092-5865.
What is the taxonomy code for Miranda Jensen?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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