Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN NICHOLAS JURGENSEN
ActiveJOHN NICHOLAS JURGENSEN is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1679035489 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1679035489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2019 (7.3556114946494 yrs)
- Last Updated
- Sep 13, 2023
- Licenses
-
PA61240820 (WA)PA200542 (OR)
Practice Information
- Address
-
16811 SE MCGILLIVRAY BLVDVANCOUVER, WA, 986833404Browse WA providers · Browse ZIP 98683
- Phone
- 3607358100
- Fax
- 3602531781
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| ALAN K MIRLY | PA | 1891780524 |
| JAMES THOMAS STUPFEL | PA-C | 1437130143 |
| JOHN RUSSELL PRENTICE | PA-C | 1497736110 |
| LYNN EUGENE CATON | PA-C | 1477536225 |
| LAURA E BRANDT | PA-C | 1013997899 |
| ROBERT S BROOKSHIRE | PA-C | 1295708378 |
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.