Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH JORGENSEN, P.A.
Active Sole ProprietorJEREMIAH JORGENSEN, P.A. is a Physician Assistant healthcare provider located in WEST JORDAN, Utah. NPI 1669704045 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST JORDAN, UT
Registration Details
- NPI Number
- 1669704045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2010 (16.509680544728 yrs)
- Last Updated
- Jun 9, 2019
- Licenses
-
4597 (AZ)PA2046 (NV)8152398-1206 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3584 W 9000 SSUITE 405WEST JORDAN, UT, 840885710Browse UT providers · Browse ZIP 84088
- Phone
- 8015683480
- Fax
- 8015683482
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| COREY L NEWMAN | PA-C | 1629077870 |
| DUANE A BATES | PA | 1629038716 |
| TODD R. ASHBY | PA | 1225099229 |
| CYDNEY MORTENSEN | PA | 1992766901 |
| JENNIFER AVERY | PA | 1982666475 |
| EILEEN SCANLON | PA | 1104888601 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.