Nurse Practitioner, Gerontology
KEY STONE HEALTH CARE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1932520640 · enumerated 2013-12-23 · record updated 2020-12-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LEONARD JENSEN FNP, President · (503) 523-6404
Addresses and phones
- Practice location 21 N FISHER PARK WAY, EAGLE, ID, 83616-4796 (208) 514-0670 Fax (208) 549-7880 Google Maps Apple Maps OpenStreetMap
- Mailing address 21 N FISHER PARK WAY, EAGLE, ID, 83616-4796 (208) 514-0670 Fax (208) 549-7880 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Geriatric Medicine 207QG0300X
- Family Medicine, Hospice and Palliative Medicine 207QH0002X
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License NP-1166A ID
In this directory
Locations and evidence
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Practice location
EAGLE, ID, 836164796
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.