Jergenson, Marisa Jean

Jergenson, Marisa Jean is an individual health care provider with primary practice located at 211 Avenue M W , Fort Dodge IA 50501-5789. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jergenson, Marisa Jean can be contacted via phone (515) 576-7261.

Contact Information

Primary practice address
211 Avenue M W Fort Dodge IA 50501-5789
Phone: (515) 576-7261
Fax: (515) 955-7628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21037 Iowa
Nursing Service Providers / Registered Nurse 163W00000X 131852 Iowa

Profile Details

NPI number 1902482300
LBN Legal business name Jergenson, Marisa Jean
Credentials RN, BSN, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2021
Last updated Jun 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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