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Individual

AIMEE N JORGENSON STOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CPNP-PC/AC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11009518
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
11009518
FL

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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