NPI 1164481107
Shelis R Jorgensen, ADVANCEDNURSEPRACT
Practice location
- Address
- 209 W Evergreen Ave STE a, Palmer, AK 99645-6952
- Phone
- (907) 861-1450
- Fax
- (907) 861-1460
- Mailing address
- 209 W Evergreen Ave, Palmer, AK 99645-6952
Registered specialties (2)
Family Nurse Practitioner
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1164481107
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Mar 2006
- Record last updated
- 17 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.