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Individual

ABIGAIL JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 262-3119
(907) 262-9290

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019095768
WI
363LF0000X
Family Nurse Practitioner
Primary
163063
AK

Other

Enumeration date
06/30/2020
Last updated
12/22/2020
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