Individual
MICHELLE MARIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
970 HOOPER AVE # 2, TOMS RIVER, NJ 08753-8319
(732) 228-4146
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00703400
NJ
Other
Enumeration date
06/15/2017
Last updated
08/18/2020
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