Individual provider · Type 1 NPI

Katie Jorgensen

Family Nurse Practitioner · Peridot, AZ

NPI number 1477409548 Active

Practice location

103 Medicine Way Rd
Peridot, AZ 85542-5000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X236215 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1477409548

Katie Jorgensen's National Provider Identifier is 1477409548, issued on Mar 10, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peridot, AZ. The record was last updated on Mar 24, 2026.