Individual
JAMES JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3077
Mailing address
1458 MANOR PL, FORT GIBSON, OK 74434-8146
(918) 781-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
86052
OK
363LF0000X
Family Nurse Practitioner
Primary
R0086052
OK
Other
Enumeration date
08/31/2020
Last updated
08/03/2021
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