Individual
SHERLYN G JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
109 N BLUE JAY DR, LIBERTY, MO 64068-1906
(816) 691-1424
(816) 480-4511
Mailing address
101 S WASHINGTON, OREGON, MO 64473
(660) 446-2090
(660) 446-2089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013002953
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952746075
—
MO
Enumeration date
05/02/2013
Last updated
06/29/2020
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