Individual
JACQUELINE ANN JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1553
(715) 684-1119
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1553
(715) 684-1119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228561
WI
363L00000X
Nurse Practitioner
Primary
13391
WI
Other
Enumeration date
12/12/2022
Last updated
12/29/2023
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