Individual provider · Type 1 NPI

Alanna Brooke Jorgensen, PA

Medical Physician Assistant · Salt Lake City, UT

NPI number 1538896337 Active

Practice location

6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939

Mailing address

6360 S 3000 E Ste 220
Salt Lake City, UT 84121-6924

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X13052546-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1538896337

Alanna Brooke Jorgensen, PA's National Provider Identifier is 1538896337, issued on Aug 2, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 5, 2022.