Individual
KATRINA CHAVEZ-JORGENSEN
Active
Individual
KATRINA CHAVEZ-JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30287
NE
207R00000X
Internal Medicine Physician
7153
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30287
PERMANENT PHYSICIAN LICENSE
NE
01
—
7153
TEP
NE
Enumeration date
05/27/2014
Last updated
07/21/2022
Update your record
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