Individual
KRISTI LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-1857
(435) 893-4100
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
267323-3102
UT
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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