Individual
JOANN M JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
720 MAIN AVE, MOORHEAD, MN 56560-2752
(701) 232-6211
Mailing address
478 190TH ST S, HAWLEY, MN 56549-9056
(218) 483-4786
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R1025961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-02622
MEDICA
—
01
—
1013314
PREFERRED ONE
—
01
—
120234
UCARE
—
01
—
38887
SIOUX VALLEY HEALTH PLAN
—
01
—
68G23JO
BCBS MN
MN
01
—
973457
AMERICA'S PPO (ARAZ)
—
01
—
HP21441
HEALTH PARTNERS
—
Enumeration date
01/26/2006
Last updated
07/08/2007
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