Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Jensen

Individual provider Athletic Trainer · NPI 1053793992

Miranda Jensen is an Athletic Trainer in Southlake, Texas. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2015
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Practice location Address checks out

1715 Mesquite Rd
Southlake, TX 76092-5865
Phone: (817) 707-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1470 (SC)

Record details

NPI number1053793992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2015
Last updated in NPPESJune 28, 2015
Mailing address1715 Mesquite Rd, Southlake, TX 76092-5865

Other providers in Southlake