MISS Nicole Renee Jorgenson, PA-C

NPI #1972780807 in Phoenix, Arizona

Provider Information

NPI Number: 1972780807
Entity Type: Individual
Name: MISS Nicole Renee Jorgenson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 22, 2008
Last Updated: Mar 7, 2023

Practice Location

Address: 5133 N CENTRAL AVE STE 206
City: Phoenix
State: Arizona
ZIP Code: 85012-1438
Phone: (602) 264-0608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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