Individual
JENNIFER LEE JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
290071-4405
UT
363LP0200X
Pediatric Nurse Practitioner
290071-8900
UT
Other
Enumeration date
02/21/2008
Last updated
01/04/2022
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