Provider Demographics
NPI:1700676632
Name:JENSEN, BRIANA CATHERINE (APRN)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:CATHERINE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:C
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7478 S CAMPUS VIEW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-1968
Mailing Address - Country:US
Mailing Address - Phone:801-210-2445
Mailing Address - Fax:
Practice Address - Street 1:7478 S CAMPUS VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-1968
Practice Address - Country:US
Practice Address - Phone:801-210-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7905751-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily