Jorgensen, Shelis R

Jorgensen, Shelis R is an individual health care provider with primary practice located at 209 W Evergreen Ave Ste A , Palmer AK 99645-6952. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jorgensen, Shelis R can be contacted via phone (907) 861-1450.

Contact Information

Primary practice address
209 W Evergreen Ave Ste A Palmer AK 99645-6952
Phone: (907) 861-1450
Fax: (907) 861-1460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CM3761 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NURU798 Alaska

Profile Details

NPI number 1164481107
LBN Legal business name Jorgensen, Shelis R
Credentials ADVANCED NURSE PRACT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Oct 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164481107 NPPES
Alaska MEDICAID 1022309

Popular Providers