Individual
HOLLY LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ARNP
Contact information
Practice address
1 JACK FOSTER DR, SHENANDOAH, IA 51601-4586
(712) 246-7400
Mailing address
820 N 14TH ST, CLARINDA, IA 51632-1119
(712) 621-4333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A180207
IA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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