Individual
ALICIA JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3088 E CHASEWOOD DR, AMMON, ID 83406-4852
(208) 240-1318
Mailing address
3088 E CHASEWOOD DR, AMMON, ID 83406-4852
(208) 240-1318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57312
ID
Other
Enumeration date
07/13/2023
Last updated
07/19/2023
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