Individual
ANNA MARIE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
436 S MAIN ST, SPRINGTOWN, TX 76082-2608
(817) 681-9563
Mailing address
PO BOX 963, SPRINGTOWN, TX 76082-0963
(817) 681-9563
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
198367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198367
LVN
TX
Enumeration date
09/24/2007
Last updated
09/24/2007
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