Individual
RHETT JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
57 NORTH 11TH STREET, RICHMOND, VA 23298
(804) 828-9000
Mailing address
10010 PALACE CT APT A, HENRICO, VA 23238-5676
(435) 760-7689
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001314754
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192351
VA
Other
Enumeration date
03/03/2023
Last updated
03/21/2025
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