Individual
KATRINA CHAVEZ-JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Mailing address
3813 W 38TH ST, HASTINGS, NE 68901-7393
(308) 830-1888
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
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