Jorgensen, Nancy Ann

Jorgensen, Nancy Ann is an individual health care provider with primary practice located at 751 S Bascom Ave P.M.&R Department, San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jorgensen, Nancy Ann can be contacted via phone (408) 885-4839.

Contact Information

Primary practice address
751 S Bascom Ave P.M.&R Department San Jose CA 95128-2604
Phone: (408) 885-4839
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 221458 California

Profile Details

NPI number 1497719058
LBN Legal business name Jorgensen, Nancy Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 12th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1497719058 NPPES
California MEDICAID RN221458

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