Individual
AMY L JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 N 27TH ST, STE 2, NORFOLK, NE 68701-4401
(402) 844-8291
(402) 844-8292
Mailing address
110 N 29TH ST, STE 2, NORFOLK, NE 68701-4424
(402) 844-8121
(402) 844-8122
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
2295
NE
363A00000X
Physician Assistant
Primary
1640
NE
Other
Enumeration date
02/10/2012
Last updated
03/08/2017
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