Individual
MS. ANJALISE JORGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 748-1193
Mailing address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
11/10/2023
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