Beverly S Jorgenson in Bloomington - Nurse Practitioner
Beverly S Jorgenson - NPI 1629022249
Beverly S Jorgenson is a Nurse Practitioner in Bloomington, Minnesota. Beverly S Jorgenson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Beverly S Jorgenson is 1629022249. The last update date is 2007-07-08.
Beverly S Jorgenson's current location address is 8100 34th Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528837172 and fax number 9528835395. The mailing address for Beverly S Jorgenson is 8100 34th Ave S, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly S Jorgenson |
|---|---|
| Address | 8100 34th Ave S, Bloomington, Minnesota |
| Phone Number | 9528837172 |
| Fax Number | 9528835395 |
| Sole Proprietor | X |
| Credentials | NNP |
NPI Number Detail
| NPI Number | 1629022249 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8100 34th Ave S |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554251672 |
| Phone Number | 9528837172 |
| Fax Number | 9528835395 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R1596319 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Beverly S Jorgenson by the Centers for Medicare & Medicaid Services?
The Beverly S Jorgenson has been issued the NPI (National Provider Identifier) 1629022249. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Beverly S Jorgenson's facilities are geographically located?
The facilities of Beverly S Jorgenson are physically situated at the following location: 8100 34Th Ave S, Bloomington, MN, 554251672.
What is the Beverly S Jorgenson's specialty and taxonomy code?
The Beverly S Jorgenson's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629022249 to Beverly S Jorgenson?
The Centers for Medicare & Medicaid Services assigned the 1629022249 to Beverly S Jorgenson on 2006-05-19.
As of what date was the information regarding Beverly S Jorgenson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Beverly S Jorgenson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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