Individual
MRS. JESSICA ASHLEY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2632
(281) 440-6960
(281) 440-6205
Mailing address
PO BOX 4356, DEPT. 665, HOUSTON, TX 77210-4356
(281) 440-6960
(281) 440-6205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03893
TEXAS LICENSE NUMBER
TX
01
—
SO147805
DPS
TX
Enumeration date
07/09/2006
Last updated
03/07/2023
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