IndividualActive
Jacklyn Jenson
NPI 1962092411 · Case Manager/Care Coordinator · Enterprise, OR
Provider details
- NPI number
- 1962092411
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
301 W Main St
Enterprise, OR 97828-1245
Phone: (541) 426-4524
Approximate (ZIP-level) locationGet directions
Mailing address
301 W Main St
Enterprise, OR 97828-1245
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.